ABSTRACT
Objectives: To determine the feasibility; safety and success rate of bilateral single session rigid retrograde ureteroscopy (URS) for bilateral ureteral calculi. Patients and Methods: Thirty-five patients underwent bilateral single session ureteroscopic calculus removal. Results: Out of 70 renal units in 35 patients treated; clearance of the calculus was successful in the first session of ureteroscopy in 63 (90). A total of 28 patients (80) were completely rendered stone-free bilaterally in one operative session. Two patients needed a second session of URS; while five required ESWL for residual or migrated stone fragments. No major procedure-related complications were encountered in any of our patients. Conclusion: Bilateral single-session rigid URS for ureteral calculi is feasible; safe and effective. There is no significant increase in ureteroscopy-related complications. It spares the patients a second anaesthesia and a second procedure and; thus; reduces the total hospital stay; total expenditure and enables the patient to resume work earlier
Subject(s)
Hearing Loss, Bilateral , UreteroscopyABSTRACT
Objectives: Percutaneous nephrolithotomy performed for the management of complex renal calculi is a challenging endourological procedure. In complex situations multiple tracks and Y tracks may be needed to achieve complete stone clearance. These maneuvers carry a risk of complications especially bleeding. This study was carried out to evaluate the efficacy of the use of percutaneous calyceal irrigation (PCI) for small calyceal calculi during percutaneous nephrolithotomy. Patients and Methods: Fifty patients; in whom percutaneous calyceal irrigation (PCI) was attempted; were retrospectively evaluated. Results: Complete stone clearance was achieved with the help of PCI in 62renal units. There were no complications attributable to PCI. Conclusion: Our results encourage the use of PCI as a simple technique for clearance of small calyceal calculi thus preventing the need for a second track or Y track