DOI: http://dx.doi.org/10.18203/2349-2902.isj20194458

A large ureteric calculus: is there a role for open surgery in the modern era?

Haraesh Maranna, Tariq Hameed, Pawan Lal

Abstract


A 36 year old gentleman presented with recurrent urinary tract infections, hematuria and lump in the left side of abdomen for 4 months. Clinically a soft, non-tender lump in left lumbar region with well-defined margins was palpable. CT scan of abdomen revealed a calculus of size 45 mm at the left vesico-ureteric junction with gross left hydronephrosis. Patient underwent open ureterolithotomy in view of the large size of calculus and due to stone impaction. Post-operative period was uneventful. Patient was followed up for 6 months and remained asymptomatic.

Keywords


Recurrent urinary tract infection, Open ureterolithotomy, Large ureteric calculus

Full Text:

PDF

References


Hammady A, Gamal WM, Zaki M, Hussein M, Abuzeid A. Evaluation of ureteral stent placement after retroperitoneal laparoscopic ureterolithotomy for upper ureteral stone: randomized controlled study. J Endourol. 2011;25(5):825-30.

Perez Castro E, Osther PJ, Jinga V, Razvi H, Stravodimos KG, Parikh K. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations: the clinical research office of the endourological Society Ureteroscopy Global Study. Eur Urol. 2014;66(1):102-9.

Swenson DW, Darge K, Ziniel SI, Chow JS. Characterizing upper urinary tract dilation on ultrasound: a survey of North American pediatric radiologists’ practices. Pediatr Radiol. 2015;45(5):686-94.

Ather M, Paryani J, Memon A, Sulaiman M. A 10-year experience of managing ureteric calculi: changing trends towards endourological intervention-is there a role for open surgery? BJU Int. 2001;88(3):173-7.

Harewood L, Webb D, Pope A. Laparoscopic ureterolithotomy: the results of an initial series, and an evaluation of its role in the management of ureteric calculi. Br J Urol. 1994;74(2):170-6.

Taylor WM. Large ureteral calculi. Report of a case. J Urol. 1934;32(1):93-102.

Mayers MM. A Giant Ureteral Calculus (Weight: 286 Grams). J Urol. 1940;44(1):47-53.

Muslumanoglu A, Karadag M, Tefekli A, Altunrende F, Tok A, Berberoglu Y. When is open ureterolithotomy indicated for the treatment of ureteral stones? Int J Urol. 2006;13(11):1385-8.

Rathod R, Gutta S, Bansal P. A giant ureteric calculus. Indian J Urol. 2013;29(3):263.

Hamdi S, Kenan. A simple manipulation for removal of large distal ureteral stone during standart ureterolithotomy: A Case Report. Int J Urol. 2007;5(1).

Kane C, Bolton D, Stoller M. Current indications for open stone surgery in an endourology center. Urology. 1995;45(2):218-221.

Paik M, Wainstein M, Spirnak J, Hampel N, Resnick M. Current indications for open stone surgery in the treatment of renal and ureteral calculi. J Urol. 1998;159(2):374-9.

Teo J, Goh E, Teoh B, Git K. Open Ureterolithotomy In an Era of Endoscopic Surgery for a Patient with Spina Bifida: Was It an Appropriate Decision? UroToday Int J. 2012;5(5).

Cancian M, Brito J, Renzulli J, Pareek G. Endourologic and Open Ureterolithotomy and Common Sheath Reimplant for Large Bladder and Distal Ureteral Calculi. J Endourol Case Reports. 2016;2(1):209-11.