Combined Endoscopic and Percutaneous Retrieval of a Retained 4-Wire Ureteral Stone Basket.

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2015-01

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Abstract

Complex endourologic procedures may require the use of a combined ureteroscopic and percutaneous approach. Endoscopic removal of a retained 4-wire ureteral stone basket is particularly complex, as broken tines can potentially injure the ureter if the basket is removed in a retrograde manner. The patient in this case presented with a ureteral stone basket embedded within the urothelium of the upper pole of the kidney. Holmium laser incision of the overlying urothelium allowed retrieval of the basket, although the tines were broken. Endoscopically guided percutaneous access to the kidney was obtained to allow for direct passage of the retained basket out of a nephrostomy sheath, thereby protecting the kidney.

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Published Version (Please cite this version)

10.1089/cren.2015.29008.agk

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Kaplan, Adam G, Glenn M Preminger and Michael E Lipkin (2015). Combined Endoscopic and Percutaneous Retrieval of a Retained 4-Wire Ureteral Stone Basket. Journal of endourology case reports, 1(1). pp. 3–5. 10.1089/cren.2015.29008.agk Retrieved from https://hdl.handle.net/10161/25548.

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Scholars@Duke

Preminger

Glenn Michael Preminger

James F. Glenn, M.D. Distinguished Professor of Urology
  1. Minimally invasive management of urologic diseases
    2. Minimally invasive management of renal and ureteral stones
    3. Medical management of nephrolithiasis
    4. Bioeffects of shock wave lithotripsy
    5. Basic physics of shock wave lithotripsy
    6. Intracorporeal lithotripsy for stone fragmentation
    7. Minimally invasive management of urinary tract obstruction, including ureteropelvic junction obstruction and ureteral strictures
    8. Enhanced imaging modalities for minimally invasive surgery
    9. Digital video imaging during endoscopic surgery
    10. 3-D imaging modalities for minimally invasive surgery
    11. Holmium laser applications in urology
Lipkin

Michael Eric Lipkin

Cary N. Robertson, MD, Associate Professor

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