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Ureteroscopy-assisted retrograde nephrostomy for an obese patient
Takashi Kawahara1, Junichi Matsuzaki, Yoshinobu Kubota
1Department of Urology, Ohguchi Higashi General Hospital, Japan.
Abstract:
Obesity is associated with increased surgical morbidity and mortality. We previously reported on the usefulness of ureteroscopy assisted retrograde nephrostomy (UARN) and here we report a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in an obese patient. A 63-year-old female with left renal calculi was referred to Department of Urology, Ohguchi Higashi General Hospital. Her body mass index was 34.0 kg/m(2). Stone fragments were completely extracted. URS-assisted puncture from the renal collecting system to the skin under fluoroscopic guidance was a safe and easy procedure in our obese patient.
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