Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones

Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones

A 61 year old gentleman had a large renal cyst, thought to be causing a ‘pseudo-hydrocalyx’ leading to recurrent stones. Definitive treatment with laparoscopic deroofing was planned, however intra-operatively this was abandoned due to complex anatomy and scared adherent tissue. Patient went on to ha...

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Bibliographic Details
Main Authors: Joseph Santiapillai, Sachin Agrawal
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020300139
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spelling doaj-bee877de9e96496585f7b6b50eb4593d2020-11-25T02:57:57ZengElsevierUrology Case Reports2214-44202020-05-0130Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stonesJoseph Santiapillai0Sachin Agrawal1Corresponding author.; Ashford and St Peter's Hospital Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UKAshford and St Peter's Hospital Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UKA 61 year old gentleman had a large renal cyst, thought to be causing a ‘pseudo-hydrocalyx’ leading to recurrent stones. Definitive treatment with laparoscopic deroofing was planned, however intra-operatively this was abandoned due to complex anatomy and scared adherent tissue. Patient went on to have a flexible ureteroscopy and ‘through and through’ puncture of an intrarenal cyst with PCNL to treat his stones and renal cyst simultaneously. CT scan 12 months later showed no new stone formation and no residual cyst. Percutaneous puncture of a renal cyst combined with flexible ureteroscopy is an effective method when treating large renal cysts. Keywords: Holmium laser, Ureteroscopy, Renal stones, Renal cysthttp://www.sciencedirect.com/science/article/pii/S2214442020300139
collection DOAJ
language English
format Article
sources DOAJ
author Joseph Santiapillai
Sachin Agrawal
spellingShingle Joseph Santiapillai
Sachin Agrawal
Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
Urology Case Reports
author_facet Joseph Santiapillai
Sachin Agrawal
author_sort Joseph Santiapillai
title Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
title_short Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
title_full Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
title_fullStr Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
title_full_unstemmed Combined flexible URS and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
title_sort combined flexible urs and percutaneous ‘through and through’ puncture of an intra-renal cyst with internalisation of drainage, to treat calyceal obstruction and recurrent stones
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2020-05-01
description A 61 year old gentleman had a large renal cyst, thought to be causing a ‘pseudo-hydrocalyx’ leading to recurrent stones. Definitive treatment with laparoscopic deroofing was planned, however intra-operatively this was abandoned due to complex anatomy and scared adherent tissue. Patient went on to have a flexible ureteroscopy and ‘through and through’ puncture of an intrarenal cyst with PCNL to treat his stones and renal cyst simultaneously. CT scan 12 months later showed no new stone formation and no residual cyst. Percutaneous puncture of a renal cyst combined with flexible ureteroscopy is an effective method when treating large renal cysts. Keywords: Holmium laser, Ureteroscopy, Renal stones, Renal cyst
url http://www.sciencedirect.com/science/article/pii/S2214442020300139
work_keys_str_mv AT josephsantiapillai combinedflexibleursandpercutaneousthroughandthroughpunctureofanintrarenalcystwithinternalisationofdrainagetotreatcalycealobstructionandrecurrentstones
AT sachinagrawal combinedflexibleursandpercutaneousthroughandthroughpunctureofanintrarenalcystwithinternalisationofdrainagetotreatcalycealobstructionandrecurrentstones
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