Rigid ureteroscopy in prone split-leg position for fragmentation of female ureteral stones: A case report

Ureteroscopy is widely used in the treatment of ureteral stones due to the increased morbidity of urolithiasis. This is the first report of a case of ureteral calculi treated with rigid ureteroscopy in the modified prone split-leg position.

A 62-year-old Asian woman was diagnosed with a ureteral stone and underwent extracorporeal shock wave lithotripsy twice. However, the abdominal computer tomography scan showed persistent calculi on the right lower ureter. Her left hip movement was limited because of a left femoral neck fracture that did not receive proper treatment in a timely manner. She was unable to undergo surgery in the lithotomy position and refused to accept flexible ureteroscopy treatment. Therefore, rigid ureteroscopy was performed with her in the modified prone split-leg position. The ureteral calculi were successfully fragmented.

It is feasible to treat lower ureteral calculi in women in the prone split-leg position with the implementation of rigid ureteroscopy.