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Left endoscopic combined intrarenal surgery with electrocoagulation hemostasis and right flexible ureteroscopic lithotripsy for bilateral upper urinary tract stones: a case report.


ABSTRACT:

Background

Percutaneous nephrolithotomy (PCNL) is the first-line treatment for large renal stones. However, multi-tract or staged procedures may be necessitated in bilateral or anatomically-complex stones to achieve stone clearance. Endoscopic combined intrarenal surgery (ECIRS) integrates the advantages of PCNL and retrograde intrarenal surgery. In this article, we detail a hybrid surgical technique adopted for the management of complex simultaneous bilateral upper urinary tract stones. In addition, we discuss the advantages and disadvantages of combining a variety of new techniques that may improve post-operative outcomes and patient satisfaction.

Case description

We report the case of a 36-year-old male with a large left renal pelvis stone, right proximal ureteric stone,

SUBMITTER: Xiong L 

PROVIDER: S-EPMC10891391 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature