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The Iatrogenic Upper Calyceal Rupture After Proximal Ureteral Stone Extraction Via Ureterorenoscopy

Year 2010, Issue: 3, 172 - 175, 01.09.2010

Abstract

The main goal in the treatment of ureteral lithiasis must be to achieve the maximum success in terms of being stone- free after one treatment session with minimal invasiveness. Therefore, for every case, the urologist must select the best treatment modality for a predictable, immediate high success rate with lowest morbidity. The success rate of ureterorenoscopy for the treatment of proximal ureteral calculi has dramatically increased and the invasiveness of the procedure approaches that of ESWL. Here in, we report of a case which iatrogenic upper caliceal rupture was developed after semi- rigid ureterorenoscopy with Holmium laser lithotripsy for a proximal ureteral calculi

References

  • Aceves JG, Camacho RF, Carrillo DF: Treatment of ureteral calculi. In Smith’s Textbook of Endourology. Arthur D. Smith, Gopal Badlani, Demetrius Bagley, Ralph V. Clayman, Steven G. Docimo Eds. Second edition, London, BC Decker Inc. 2007 pp 243-252.
  • Conlin MJ, Marberger M, Bagley DH: Ureterorenoscopy. Development and instrumentation. Urol Clin North Am 1997; 24: 25-42.
  • Schuster TG, Hollenbeck BK, Faerber GJ, Wolf JS Jr: Complications of ureterorenoscopy: analysis of predictive factors. J Urol 2001;166(2): 538-540.
  • Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW: Ureterorenoscopy: current practice and long-termcomplications. J Urol 1997; 157(1): 28-32.
  • Razzak OM: Ureteral anatomy. In Smith’s Textbook of Endourology. Arthur D. Smith, Gopal Badlani, Demetrius Bagley, Ralph V. Clayman, Steven G. Docimo Eds. Second edition, London: BC Decker Inc; 2007. p. 213-216.
  • Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, Macaluso JN Jr: Ureteral stones Clinical Guidelines Panel Summary report on the management of ureteral calculi. The American Urological Association. J urol 1997;158: 1915-1921.
  • Sofer M, Watterson JD, Wollin TA, Nott L, Razvi H, Denstedt JD: Holmium: YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 2002; 167: 31-34.

Üreterorenoskopi ile Proksimal Üreter Taşı Ekstraksiyonu Sonrası Gelişen İatrojenik Üst Kaliks Rüptürü

Year 2010, Issue: 3, 172 - 175, 01.09.2010

Abstract

Üreter taşları tedavisinde amaç; minimal invaziv yolla, tek seferde hastayı taşsız bırakacak şekilde maksimum başarıya ulaşmaktır. Bu nedenle ürolog, her vaka için çabuk ve yüksek başarı oranı ile birlikte düşük morbidite sağlayacak en iyi tedavi yöntemini belirlemelidir. Günümüzde üreterorenoskopinin proksimal üreter taşları tedavisinde başarısı dramatik olarak yükselmiş ve işlemin invazivliği de azalarak ESWL’ ninkine yaklaşmıştır. Burada proksimal üreter taşı nedeniyle semirijid üreterorenoskopi ile birlikte Holmium lazer litotripsisi kullandığımız ve işlem sonrasında gelişen iyatrojenik üst kaliks rüptürünü anlatmaktayız

References

  • Aceves JG, Camacho RF, Carrillo DF: Treatment of ureteral calculi. In Smith’s Textbook of Endourology. Arthur D. Smith, Gopal Badlani, Demetrius Bagley, Ralph V. Clayman, Steven G. Docimo Eds. Second edition, London, BC Decker Inc. 2007 pp 243-252.
  • Conlin MJ, Marberger M, Bagley DH: Ureterorenoscopy. Development and instrumentation. Urol Clin North Am 1997; 24: 25-42.
  • Schuster TG, Hollenbeck BK, Faerber GJ, Wolf JS Jr: Complications of ureterorenoscopy: analysis of predictive factors. J Urol 2001;166(2): 538-540.
  • Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW: Ureterorenoscopy: current practice and long-termcomplications. J Urol 1997; 157(1): 28-32.
  • Razzak OM: Ureteral anatomy. In Smith’s Textbook of Endourology. Arthur D. Smith, Gopal Badlani, Demetrius Bagley, Ralph V. Clayman, Steven G. Docimo Eds. Second edition, London: BC Decker Inc; 2007. p. 213-216.
  • Segura JW, Preminger GM, Assimos DG, Dretler SP, Kahn RI, Lingeman JE, Macaluso JN Jr: Ureteral stones Clinical Guidelines Panel Summary report on the management of ureteral calculi. The American Urological Association. J urol 1997;158: 1915-1921.
  • Sofer M, Watterson JD, Wollin TA, Nott L, Razvi H, Denstedt JD: Holmium: YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 2002; 167: 31-34.
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Burak Özkan

Enis Rauf Coşkuner

Veli Yalçın

Publication Date September 1, 2010
Published in Issue Year 2010Issue: 3

Cite

EndNote Özkan B, Coşkuner ER, Yalçın V (September 1, 2010) Üreterorenoskopi ile Proksimal Üreter Taşı Ekstraksiyonu Sonrası Gelişen İatrojenik Üst Kaliks Rüptürü. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 172–175.