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[Endourologic complication: endourologic resolution]
G Butori1, J I Iglesias Prieto, J M Mancebo Gómez
1Unidad de Urología, Clínica La Luz, Madrid, España.
Archivos Espanoles De Urologia
|September 1, 1996
Summary
An uncommon complication during double-J catheter removal after ESWL in a solitary kidney patient was successfully managed using endourological techniques, highlighting the efficacy of these minimally invasive methods for resolving such issues.
Area of Science:
- Endourology
- Urology
- Nephrology
Background:
- Management of renal stones often involves procedures like extracorporeal shock wave lithotripsy (ESWL).
- Indwelling ureteral stents (double-J catheters) are commonly used post-procedure.
- Complications can arise during stent removal, necessitating prompt intervention.
Observation:
- A patient with a solitary right kidney presented with a radiolucent renal stone and an indwelling double-J catheter.
- During removal of the double-J catheter after ESWL, it fractured, leaving a significant portion within the ureter.
Findings:
- The fractured double-J catheter was successfully retrieved using ureteroscopy.
- Multiple attempts involving ureteroscopy and percutaneous nephroscopy were required for successful removal.
- This case highlights an uncommon endourological complication and its resolution.
Implications:
- Endourological methods are effective in managing complications arising from ureteral stent removal.
- Minimally invasive techniques offer a viable solution for complex intraureteral foreign body retrieval.
- This approach minimizes morbidity and preserves renal function, especially in patients with solitary kidneys.