Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi
Flexible retrograde ureteroscope is now being widely used in endoscopic management of the urinary calculi. We report technique of supine ante grade flexible ureteroscopy in treating impacted upper and mid ureteric calculi in a pediatric patient. A six year-old boy with a history of acute right urete...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2006-01-01
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Series: | Indian Journal of Urology |
Subjects: | |
Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2006;volume=22;issue=2;spage=139;epage=141;aulast=Gupta |
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author | Rahul Gupta T Manohar Mahesh R Desai |
author_facet | Rahul Gupta T Manohar Mahesh R Desai |
author_sort | Rahul Gupta |
collection | DOAJ |
description | Flexible retrograde ureteroscope is now being widely used in endoscopic management of the urinary calculi. We report technique of supine ante grade flexible ureteroscopy in treating impacted upper and mid ureteric calculi in a pediatric patient. A six year-old boy with a history of acute right ureteric colic was investigated and found to have right upper and middle impacted ureteric calculi. He was planned for ureteroscopy, but the intramural part of the ureter could not be dilated. Hence, a decision was taken to do an antegrade flexible ureteroscopy in the supine position. An antegrade renal access was established in the supine position using ultrasound- guided puncture, a 22 Fr Amplatz was placed after serial dilatation of the tract and the stones were accessed using a flexible ureteroscope. The stones were then disintegrated using holmium laser. The ureter was stented at the end of the procedure. IVU done after six months revealed normal right kidney. |
first_indexed | 2024-04-12T23:58:02Z |
format | Article |
id | doaj.art-90214c29730847f7b55185fa45c34a5d |
institution | Directory Open Access Journal |
issn | 0970-1591 1998-3824 |
language | English |
last_indexed | 2024-04-12T23:58:02Z |
publishDate | 2006-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Urology |
spelling | doaj.art-90214c29730847f7b55185fa45c34a5d2022-12-22T03:11:25ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242006-01-0122213914110.4103/0970-1591.26570Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculiRahul GuptaT ManoharMahesh R DesaiFlexible retrograde ureteroscope is now being widely used in endoscopic management of the urinary calculi. We report technique of supine ante grade flexible ureteroscopy in treating impacted upper and mid ureteric calculi in a pediatric patient. A six year-old boy with a history of acute right ureteric colic was investigated and found to have right upper and middle impacted ureteric calculi. He was planned for ureteroscopy, but the intramural part of the ureter could not be dilated. Hence, a decision was taken to do an antegrade flexible ureteroscopy in the supine position. An antegrade renal access was established in the supine position using ultrasound- guided puncture, a 22 Fr Amplatz was placed after serial dilatation of the tract and the stones were accessed using a flexible ureteroscope. The stones were then disintegrated using holmium laser. The ureter was stented at the end of the procedure. IVU done after six months revealed normal right kidney.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2006;volume=22;issue=2;spage=139;epage=141;aulast=GuptaFlexible ureteroscopypediatric ureteral calculi |
spellingShingle | Rahul Gupta T Manohar Mahesh R Desai Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi Indian Journal of Urology Flexible ureteroscopy pediatric ureteral calculi |
title | Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
title_full | Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
title_fullStr | Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
title_full_unstemmed | Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
title_short | Antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
title_sort | antegrade flexible ureteroscopy in supine position for impacted multiple ureteric calculi |
topic | Flexible ureteroscopy pediatric ureteral calculi |
url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2006;volume=22;issue=2;spage=139;epage=141;aulast=Gupta |
work_keys_str_mv | AT rahulgupta antegradeflexibleureteroscopyinsupinepositionforimpactedmultipleuretericcalculi AT tmanohar antegradeflexibleureteroscopyinsupinepositionforimpactedmultipleuretericcalculi AT maheshrdesai antegradeflexibleureteroscopyinsupinepositionforimpactedmultipleuretericcalculi |