Uretrorenoscopy laser lithotripsy treatment of stones impacted in the left ureter 10 years after right kidney autotransplantation

Novak Milović; Vladimir Bančević; Goran Teodorović

doi:10.2298/3542

Novak Milović Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Vladimir Bančević Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Goran Teodorović Urology Clinic, Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/3542

Keywords: ureterolithiasis, lithotripsy, laser, transplantation, autologous, kidney,

Abstract

Introduction. Urinary tract calculosis is a very common condition in general population. It appears in 5–10% of population, and can be managed conservatively or by minimally invasive, endoscopic and surgical procedures or extracorporeal shock way lithotripsy. Lesions of the ureter can be resolved by JJ stent insertion, end-to-end anastomosis, ureterocystoneostomy, percutaneous nephrostomy, nephrectomy, intestinal graft interposition or kidney autotransplantation. Case report. We presented surgical treatment and outcome in a female patient, with a large defect of the right ureter due to impacted stone treatment, following a successful autotransplantation of the right kidney. Ten years later a stone impacted in the left ureter was successfully treated by ureterorenoscopy and laser lithotripsy. Asynchronously combined kidney aoutotransplantation and ureterorenoscopic lithotripsy preserved kidney function. Conclusion. Bilateral organs preservation should be considered even in the absence of malignancy, especially in younger population.

Author Biography

Vladimir Bančević, Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia

Dept of Urology

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