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Updated: Jun 10, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Navigating the triple threat: Management of post-ESWL urinoma, steinstrasse, and obstructive uropathy: A challenging
Rao Nouman Ali1, Sohaib Irfan2, Wajiha Irfan3
1College of Physician and Surgeons, Pakistan.
Abstract:
Urinoma (collection of urine) formation secondary to extracorporeal shock wave lithotripsy (ESWL) is one of the rare complications encountered postprocedure and co-existence of urinoma with steinstrasse is a rare and challenging scenario to manage in the setting of obstructive uropathy. ESWL is known for being noninvasive for breaking kidney and ureteric stones. Urinoma is a collection of urine outside the collecting system in the retroperitoneum or perirenal space. Early detection and management are necessary to prevent complications related to urinoma and steinstrasse. This case report is about a patient who developed urinoma and steinstrasse in the setting of obstructive uropathy after sessions of ESWL on the right side and was managed with a nephrostomy tube and trans-ureteral lithotripsy on the right side and percutaneous nephrolithotomy on the left side after 1 month.
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