Percutaneous Stone Manipulation

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Presentation transcript:

Percutaneous Stone Manipulation P. Alken, G. Hutschenreiter, R. Günther, M. Marberger The Journal of Urology Volume 197, Issue 2, Pages S154-S157 (February 2017) DOI: 10.1016/j.juro.2016.10.070 Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions

Fig. 1 Case 5. IVP of 66-year-old patient shows calicectasis of left kidney owing to obstructing stone. Patient had contraindication to operation because of chronic pulmonary distress. The Journal of Urology 2017 197, S154-S157DOI: (10.1016/j.juro.2016.10.070) Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions

Fig. 2 Case 5. A, plain film shows calculus in renal pelvis. B, J-guide wire passes stone after percutaneous puncture. C, anterograde pyelography shows already partially collapsed collecting system with 26F nephrostomy in place after dilation. The Journal of Urology 2017 197, S154-S157DOI: (10.1016/j.juro.2016.10.070) Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions

Fig. 3 Case 5. Plain film and IVP 6 weeks after ultrasound disintegration of calcium oxalate calculus. The Journal of Urology 2017 197, S154-S157DOI: (10.1016/j.juro.2016.10.070) Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions

Fig. 4 Case 2. A, plain film and anterograde pyelography in 66-year-old patient show huge pelvic stone and caliceal stones in solitary kidney after 4 operations for stone removal. Permanent nephrostomy was done because of loss of ureteral continuity. B, plain film and IVP 1 year after ultrasound disintegration of struvite/apatite stone show caliceal stones unchanged in size and position. The Journal of Urology 2017 197, S154-S157DOI: (10.1016/j.juro.2016.10.070) Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions

Fig. 5 Case 4. A and B, plain film and IVP in 74-year-old patient show obstructing calculus of right kidney that caused septicemia owing to Proteus infection. C, tomography after percutaneous nephrostomy and dilation. D, tomography after ultrasound disintegration of struvite/apatite stone. E, IVP 3 months after procedure. Escherichia coli infection was present. The Journal of Urology 2017 197, S154-S157DOI: (10.1016/j.juro.2016.10.070) Copyright © 1981 The Williams & Wilkins Co. Terms and Conditions