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Case Reports in Urology
Volume 2015, Article ID 273614, 5 pages
http://dx.doi.org/10.1155/2015/273614
Case Report

Endoscopic Removal of a Nitinol Mesh Stent from the Ureteropelvic Junction after 15 Years

1Department of Urology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
2Clinical Institute of Radiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia

Received 20 September 2015; Accepted 24 November 2015

Academic Editor: Apul Goel

Copyright © 2015 Tomaž Smrkolj and Domagoj Šalinović. 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

We report a rare case of a patient with a large stone encrusted on a nitinol mesh stent in the ureteropelvic junction. The stent was inserted in the year 2000 after failure of two pyeloplasty procedures performed due to symptomatic ureteropelvic junction stenosis. By combining minimally invasive urinary stone therapies—extracorporeal shock wave lithotripsy, semirigid ureterorenoscopy with laser lithotripsy, and percutaneous nephrolithotomy—it was possible to completely remove the encrusted stone and nitinol mesh stent that was implanted for 15 years, rendering the patient symptom and obstruction free.