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 extra-corporeal 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.
Written by:
Milović N, Bančević V, Teodorović G. Are you the author?
Reference: Vojnosanit Pregl. 2014 Oct;71(10):972-4.
PubMed Abstract
PMID: 25518279