Enliven: Surgery and Transplantation

Pelvic Kidney Stone Management with Exclusive Retrograde Flexible Uretroscopy: Subjective Evaluation of Two Different Endoscopes
Author(s): Hani Saleh Albadawe, Saeed Bin Hamri, Olivier Traxer

Purpose:
We are presenting a single institution experience in managing ectopic pelvic kidney stones through minimally invasive flexible ureteroscopy procedure with a surgeon’s subjective evaluation of two F-URS.

Patients and Methods: Nine cases of pelvic kidney had been treated with retrograde flexible ureterorenoscopy over the last 7 years in Tenon Hospital, Pierre Marie Curie University Paris, France. The prospectively selected cases included seven males and two females. Types of stones identified were brushite calculi in two patients and calcium oxalates in the rest. All of the patients were followed up by Non-contrast CT scan one month afer the operation.

Results: The mean operative time was 82 minutes. The stone-free rate was 91% (9 patients). One patient had a residual caliceal fragment that was treated with shockwave lithotripsy. There were no complications. The mean hospital stay was 48hr.

Conclusion: Flexible Ureterorenoscopy with holmium laser is feasible, safe, and effective for the treatment of stones in pelvic kidneys.