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Case Reports in Medicine
Volume 2012, Article ID 164963, 4 pages
http://dx.doi.org/10.1155/2012/164963
Case Report

Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy

1Department of Urology, Ohguchi Higashi General Hospital, 2-19-1 Irie, Kanagawa-ku, Yokohama, Kanagawa, Japan
2Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Japan

Received 6 May 2012; Revised 7 July 2012; Accepted 22 July 2012

Academic Editor: Chin-Jung Wang

Copyright © 2012 Takashi Kawahara et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Open surgical anatrophic nephrolithotomy (ANL) had been the standard treatment for large renal calculi prior to the development of endoscopic devices and endoscopic techniques. A previous report described the efficacy of ureteroscopy-assisted retrograde nephrostomy (UARN) and presented a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in a patient after ANL. Case Presentation. A 61-year-old male with left renal calculi was referred for further treatment. The patient was placed under general and epidural anesthesia, in a Galdakao-modified Valdivia position. A flexible ureteroscope (URS) was inserted, and a Lawson retrograde nephrostomy puncture wire was advanced into the flexible URS. The puncture wire then followed the route from the renal pelvis to the exit skin. Calculus fragmentation was undertaken using a pneumatic lithotripter. Conclusions. UARN for PCNL was therefore found to be a safe, effective, and appropriate treatment for a patient presenting with renal calculi after undergoing ANL.