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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Main Authors: Rahul Gupta, T Manohar, Mahesh R Desai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2006-01-01
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.
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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
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AT tmanohar antegradeflexibleureteroscopyinsupinepositionforimpactedmultipleuretericcalculi
AT maheshrdesai antegradeflexibleureteroscopyinsupinepositionforimpactedmultipleuretericcalculi