MiniECIRS for a ureteric stone with multiple calyceal stones in the ipsilateral kidney

Patient was placed in the Galdakao-modified supine Valdivia position. The double J stent was removed and a semirigid ureteroscopy was carried out immediately after. The ureteral stone was treated with Holmium laser and the fragments were actively removed using nitinol baskets. After having cleared out the ureter, a ureteral access sheath was inserted and a single-use flexible ureteroscope (LithoVueTM) was used to inspect the pelvicalyceal system. A percutaneous renal puncture was carried out under ultrasound and endovision control in a posterior lower calyx, looking for a transpapillary puncture. The tract was dilated up to 16Ch under endoscopic control. The different stones were treated using Holmium laser either through the rigid nephroscope and the flexible ureteroscope. Fragments were extracted through the Amplatz sheath, taking advantage of the “pass-the-ball” technique, with no residual fragments at the end. At the end of the procedure a double J stent was placed without nephrostomy tube, after having performed an endoscopic control of the percutaneous tract.

Clinical Case:

Clinical Background

• Age: 68

• Gender: female

• Weight: 68 kg

• Height: 1.55 m

• BMI: 28.3 kg/m2

• Diagnosis: Left ureteric stone and multiple calyceal stones in the ipsilateral kidney

Technique Description