Retained Double J Stent with Huge Renal and Bladder Calculi Extracted by Percutaneous Nephrolithotomy and Percutaneous Cystolitholapaxy in a Single Encounter

Area of Science:

• Urology
• Pediatric Surgery
• Nephrolithiasis Management

Background:

• Retained Double J ureteral stents can lead to complications, including calculus formation.
• Management of complex pediatric urolithiasis requires tailored surgical approaches.

Observation:

• A 10-year-old female presented with a retained Double J ureteral stent associated with significant calculus burden at both stent ends.
• The patient had both renal and bladder calculi.

Findings:

• Successful management of retained Double J stent calculi was achieved in a single surgical session.
• Percutaneous nephrolithotomy was used for renal calculi.
• Percutaneous cystolitholapaxy was employed for bladder calculi.

Implications:

• This case highlights the feasibility of a single-sitting, minimally invasive approach for complex retained stent calculus management in children.
• Effective treatment options exist for managing stent-related urolithiasis in pediatric patients.
• Minimally invasive techniques can resolve challenging calculus burdens associated with ureteral stents.