Use of ureteroscopy and holmium:yttrium-aluminum-garnet laser in the treatment of an infundibular stenosis.
An infundibular stenosis is defined by a dilated calyx draining through a narrowed infundibulum into a nondistended renal pelvis. We describe the use of ureteroscopy and the holmium:yttrium-aluminum-garnet (YAG) laser to successfully treat an infundibular stenosis in a 27-year-old woman who presented with left flank pain. The holmium:YAG laser is well suited for this application. It can be applied with precise control of the direction and depth of the cut. The retrograde approach avoids the morbidity of a percutaneous nephrostomy and is well suited for treating an anterior infundibular stenosis.
Kim
H L
HL
Department of Surgery, Pritzker School of Medicine, University of Chicago, Illinois 60637, USA.
Gerber
G S
GS
D000328:Adult; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007670:Kidney Calices; D007674:Kidney Diseases / Q000175:diagnosis / Q000601:surgery; D053685:Laser Therapy; D018666:Ureteroscopy