Percutaneous transpouch management of a ureteral stone and ureteral-pouch stricture in a pelvic kidney

• Published in: Urology (Ridgewood, N.J.) Vol. 57; no. 4; p. 800
• Main Authors: Schalow, Erica, Caridi, James, Cohen, Marc, Newman, Robert
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2001
• Subjects: Adult; Catheterization; Constriction, Pathologic - etiology; Constriction, Pathologic - therapy; Drainage - methods; Humans; Kidney - abnormalities; Male; Nephrostomy, Percutaneous - methods; Paraplegia - complications; Stents; Ureteral Calculi - complications; Ureteral Calculi - therapy; Urinary Diversion - adverse effects; Urinary Diversion - methods
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/S0090-4295(00)01127-4

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.