Percutaneous transpouch management of a ureteral stone and ureteral-pouch stricture in a pelvic kidney.
Stones in pelvic kidney collecting systems have not been routinely managed percutaneously in most urologic practices. Especially challenging is the management of stones in a pelvic kidney collecting system positioned posteriorly to a urinary diversion. In the present case, a 32-year-old man with a pelvic kidney and continent urinary diversion presented with fever and hydronephrosis. Drainage of the kidney was obtained percutaneously by way of an anterior approach through-and-through the urinary diversion. The patient was found to have both a ureteral stone and a ureteral-pouch anastomotic stricture on subsequent imaging. We were able to successfully treat both these problems endoscopically through a solitary percutaneous access.
Schalow
E
E
Division of Urology, University of Florida College of Medicine, Gainesville, Florida, USA.
Caridi
J
J
Cohen
M
M
Newman
R
R
D000328:Adult; D002404:Catheterization; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D004322:Drainage / Q000379:methods; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000379:methods; D010264:Paraplegia / Q000150:complications; D015607:Stents; D014514:Ureteral Calculi / Q000150:complications / Q000628:therapy*; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods