title: Laparoscopic Ureterolithotomy with Concomitant Pyelolithotomy Using Flexible Cystoscope.
abstract: OBJECTIVE
  To report and discuss the treatment of ipsilateral upper ureteral and renal stones by laparoscopic ureterolithotomy with concomitant pyelolithotomy using flexible cystoscope.
  
  
  METHODS
  A total of 19 patients (14 men and 5 women) underwent laparoscopic retroperitoneal ureterolithotomy with concomitant pyelolithotomy using flexible cystoscope through the ureterotomy site. The mean age of the patients was 37.9 (22-61) years. Stones were on the right side in 12, on the left side in 7, and multiple in 6 patients. All ureteral stones were located in the upper ureter. Most renal stones were in the pelvis or in the calices.
  
  
  RESULTS
  All procedures were completed laparoscopically without conversion to open surgery. Mean operation duration was 86.5 (range: 80-93) minutes, thus operation duration was prolonged by a mean of 24.4 minutes in patients with concomitant stone extraction. Fifteen cases were treated using flexible cystoscope and a nitinol basket; in the remaining four cases holmium laser lithotripsy was performed. Complete stone clearance was confirmed by postoperative imaging in all patients.
  
  
  CONCLUSIONS
  Laparoscopic ureterolithotomy with concomitant pyelolithotomy is a feasible and effective technique for patients with large ureteral stone and low renal stone burden.&nbsp.
authors.affiliation: Bakirköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey. urosahin@gmail.com.
authors.forename: Selcuk
authors.initials: S
authors.lastname: Sahin
authors.affiliation: Department of Urology, Canakkale Onsekiz Mart University, Faculty of Medicine, Canakkale, Turkey.
authors.forename: Berkan
authors.initials: B
authors.lastname: Resorlu
authors.affiliation: Bakirköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Feyzi Arda
authors.initials: FA
authors.lastname: Atar
authors.affiliation: Bakirköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Mithat
authors.initials: M
authors.lastname: Eksi
authors.affiliation: Bakirköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Nevzat Can
authors.initials: NC
authors.lastname: Sener
authors.affiliation: Bakirköy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Volkan
authors.initials: V
authors.lastname: Tugcu
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D020684:Cystoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014513:Ureter / Q000601:surgery*; D014514:Ureteral Calculi / Q000601:surgery*; D055815:Young Adult