Uretrorenoscopy laser lithotripsy treatment of stones impacted in the left ureter 10 years after right kidney autotransplantation
2014
Introduction. Urinary tract calculosis is a very common condition in general
population. It appears in 5-10% of population, and can be managed
conservatively or by minimally invasive, endoscopic and surgical procedures
or extracorporeal shock way lithotripsy. Lesions of the ureter can be
resolved by JJ stent insertion, end-to-end anastomosis, ureterocystoneostomy,
percutaneous nephrostomy, nephrectomy, intestinal graft interposition or
kidney autotransplantation. Case report. We presented surgical treatment and
outcome in a female patient, with a large defect of the right ureter due to
impacted stone treatment, following a successful autotransplantation of the
right kidney. Ten years later a stone impacted in the left ureter was
successfully treated by ureterorenoscopy and laser lithotripsy.
Asynchronously combined kidney aoutotransplantation and ureterorenoscopic
lithotripsy preserved kidney function. Conclusion. Bilateral organs
preservation should be considered even in the absence of malignancy,
especially in younger population.
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