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Baskets in the kidney: an old problem in a new situation
Darrell Allen1, Richard G Hindley, Jonathan M Glass
1Department of Urology, Guy's Hospital, London, England. richard.hindley@virgin.net
Journal of Endourology
|October 21, 2003
Summary
A novel technique uses a hydrogel-coated ureteral dilator to prevent kidney stone basket impaction during removal. This method aids in closing basket wires for easier extraction after lithotripsy.
Area of Science:
- Endourology
- Nephrolithiasis Management
- Urologic Surgery
Background:
- Kidney stone removal from the lower-pole calix using zero-tip baskets can lead to basket impaction.
- This complication poses a challenge during endourologic procedures.
- Fragmenting stones with lithotripsy is a common step before basket removal.
Observation:
- The zero-tip basket can become lodged in the lower-pole calix after stone fragmentation.
- Impaction prevents the effective closure of the basket wires.
- This necessitates alternative methods for safe removal.
Findings:
- A hydrogel-coated ureteral dilator was employed to address basket impaction.
- The dilator facilitates the closure of the basket wires.
- Successful removal of the impacted basket was achieved post-lithotripsy.
Implications:
- This technique offers a solution for a specific complication in kidney stone lithotripsy.
- It may improve the safety and efficiency of endourologic stone removal procedures.
- Further studies could validate this approach in a larger patient cohort.