Curr Health Sci J, vol. 35, no. 2, 2009

Complex Congenital Urinary Tract Malformation with Secondary Urinary Stone Disease – Therapeutic Multimodal Solution

[Original paper]

Stoica L., Tomescu P., Dragoescu O., Vilcea I., Enache M.

Department of Urology, University of Medicine and Pharmacy, Craiova; County Emergency University Hospital, Craiova


Abstract:

Objective. This presentation emphasizes the continuous development of surgical treatment applied for urological diseases by solving a complex case of urinary stone disease developed on a congenital abnormal urinary tract (bilateral ureterocele and right pelviureteral duplication) through combined therapeutic measures which would have been treated by open surgery not long ago. Case presentation. This is a description of the retrograde ureteroscopy made under spinal anesthesia using Ho:YAG laser lithotripsy, extraction of resulting stone fragments, ureterocele incision with the introduction of a left ureteral catheter at the end of the procedure. Results. Postoperative recovery was short and simple and followed by a session of extracorporeal shock wave lithotripsy for the remaining right kidney stones as well as endoscopic removal of the left double J catheter at 30 days. Conclusions. Stone kidney treatment is continuously changing along with the technological development. Use of minimally invasive (a singular surgical session of Ho:YAG - retrograde ureteroscopy) as well as noninvasive techniques (ESWL) allowed complete treatment of this complex case and decreased associated morbidity and hospital stay.


Keywords:
urinary stone disease, ureteroscopy, Ho:YAG laser, ESWL



Corresponding:
Stoica L., MD, Department of Urology, University of Medicine and Pharmacy, Craiova; County Emergency University Hospital, Craiova : email: stoicale@gmail.com


DOI 10.12865/CHSJ.35.02.11 - Download PDF