NDLI: Urolithiasis in primary obstructive megaureter: a management dilemma

Content Provider	PubMed Central
Author	Kumar, Arvind Goel, Apul Singh, Manmeet Narayan, Sankwar Satya
Copyright Year	2014
Abstract	Megaureter with urolithiasis is an uncommon entity. These stones may be located in the kidney, ureter or both. Management of these cases is difficult due to free mobility and stone multiplicity. As there are no guidelines about the management, the surgeon usually manages according to her/his experience, stone location or burden. The goal is to remove the stones and reimplant the ureters in the same session, if possible. We describe single-stage management of one such patient who presented with bilateral multiple ureteral and left renal stones. The left ureteral stones were first flushed into the kidney by the ureteroscope. Percutaneous nephrolithotomy was then performed and stones were removed intact. The patient was then turned supine and the location of right ureteral stones was confirmed by fluoroscopy in the same location (right lower ureter). The patient underwent successful bilateral ureteroneocystostomy with simultaneous removal of right lower ureteral stones.
Related Links	http://dx.doi.org/10.1136/bcr-2014-204210
Starting Page	2014204210
File Format	PDF
ISSN	1757790X
e-ISSN	1757790X
Journal	BMJ Case Reports
Volume Number	2014
Language	English
Publisher	BMJ Publishing Group
Publisher Date	2014-05-30
Access Restriction	Open
Rights Holder	BMJ Publishing Group
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Medicine

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Urolithiasis in primary obstructive megaureter: a management dilemma