Prone split-leg position to manage encrusted ureteral stents in a single-stage procedure in women: Step-by-step surgical technique

Authors

  • Giovanni Scala Marchini Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.
  • Fábio Cesar Miranda Torricelli Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.
  • Eduardo Mazzucchi Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School
  • Miguel Srougi Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School
  • Manoj Monga Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.

DOI:

https://doi.org/10.5489/cuaj.2852

Keywords:

kidney, stent, stone, percutaneous

Abstract

The management of encrusted ureteral stents is costly, time consuming and may be risky for the patient and challenging for the urologist. Treatment modalities for encrusted stents include extracorporeal shock wave lithotripsy, cystolithopaxy, rigid or flexible ureteroscopy with intracorporeal lithotripsy, percutaneous nephrolithotomy, open surgery, and a combination of those methods. In this study we describe the management of severe forgotten encrusted ureteral stents in 3 female patients using a prone splitleg position. This position allows us to effectively treat any site and degree of stent encrustation in a single-session approach with the patient in the same position during the whole procedure. All patients were rendered stent and stone free. No complications occurred.

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Author Biographies

Giovanni Scala Marchini, Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.

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Fábio Cesar Miranda Torricelli, Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.

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Eduardo Mazzucchi, Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School

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Miguel Srougi, Division of Urology, Section of Endourology, Hospital das Clínicas, University of São Paulo Medical School

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Manoj Monga, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland - Ohio, USA.

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Published

2015-07-17

How to Cite

Marchini, G. S., Torricelli, F. C. M., Mazzucchi, E., Srougi, M., & Monga, M. (2015). Prone split-leg position to manage encrusted ureteral stents in a single-stage procedure in women: Step-by-step surgical technique. Canadian Urological Association Journal, 9(7-8), E494–9. https://doi.org/10.5489/cuaj.2852

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Section

Case Series