scholarly journals Retrograde intrarenal surgery in atretic calyceal diverticular stone, a case report

2019 ◽  
Vol 24 ◽  
pp. 100840
Author(s):  
Woei Ming Ng
Keyword(s):  
Case Report ◽  
Retrograde Intrarenal Surgery

scholarly journals Case Report: An occurrence of steinstrasse in retrograde intra renal surgery (RIRS) for large staghorn kidney stone: a difficult experience in managing surgical outcomes

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 184
Author(s):  
Ponco Birowo ◽  
Nur Rasyid ◽  
Widi Atmoko ◽  
Bobby Sutojo
Keyword(s):  
Case Report ◽  
Kidney Stones ◽  
Kidney Stone ◽  
Renal Surgery ◽  
Retrograde Intrarenal Surgery ◽  
Stone Size ◽  
Life Threatening ◽  
Detailed Assessment ◽  
The Right ◽  
Collecting System

Immediate removal of staghorn kidney stones is important to prevent life-threatening complications. With the advancement of endoscopic technology, retrograde intrarenal surgery (RIRS) is now an alternate treatment to the standard percutaneous nephrolithotomy (PCNL) for stones removal. However, when used to treat large stones (>3cm), RIRS can cause the formation steinstrasse (SS). Here, we present the case of a 68-year-old man with multiple stones in the collecting system of the right kidney after initial treatment with RIRS. After two years of multiple interventions, the SS was completely removed. To prevent this complication in patients, a detailed assessment of the stone (size, location) and renal anatomy should be completed before RIRS is performed.

scholarly journals Retrieval of intrarenal coiled and ruptured guidewire by retrograde intrarenal surgery: A case report and literature review

Open Medicine ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 1728-1732
Author(s):  
Bo-Han Chen ◽  
Tsung-Hsin Chang ◽  
Marcelo Chen ◽  
Yu-Hsin Chen
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Minimally Invasive ◽  
Foreign Bodies ◽  
English Literature ◽  
Renal Parenchyma ◽  
Flexible Ureteroscopy ◽  
Retrograde Intrarenal Surgery ◽  
Ct Guided ◽  
First Choice

Abstract Background Foreign bodies in the kidney have rarely been reported. However, they can be a clinical problem for urologists. We report on a patient with a residual segment of guidewire coating embedded in the renal parenchyma following computed tomography (CT)-guided percutaneous nephrostomy drainage (PCND), and our successful minimally invasive management with retrograde intrarenal surgery (RIRS). Case presentation A 40-year-old female with urosepsis due to a right upper ureteral stone with hydronephrosis received emergent CT-guided PCND and subsequent ureteroscopic lithotripsy, double J stent insertion, and percutaneous catheter removal. Follow-up radiography showed a coiled object within the upper pole parenchyma of the right kidney, which might be the remnant of a guidewire used during the PCND procedure. Flexible ureteroscopy (fURS) was performed. Under fluoroscopy, the foreign body was localized, the renal parenchyma was incised with laser, and the foreign body was retrieved using a stone basket. Conclusion Although guidewire breakage is uncommon, clinicians should keep it in mind during interventional procedures. Several methods can be used to eradicate foreign objects from the urinary tract, and the first choice should always be the least invasive one. RIRS with fURS is considered as a safe, efficient, and minimally invasive option for the extraction of foreign bodies from the kidney. To the best of our knowledge, this is the first comprehensive case report detailing the removal of a foreign object by RIRS in the English literature.

Retrograde intrarenal surgery for nephrolithiasis in a 2-year-old boy with type 1 glycogen storage disease: A case report

2012 ◽  
Vol 8 (3) ◽  
pp. e31-e32 ◽  
Author(s):  
Bulent Onal ◽  
Fatih Ozdemir ◽  
Sinharib Citgez ◽  
Ahmet Aydin ◽  
Nur Canpolat ◽  
...  
Keyword(s):  
Case Report ◽  
Glycogen Storage Disease ◽  
Storage Disease ◽  
Glycogen Storage ◽  
Retrograde Intrarenal Surgery

scholarly journals Case Report: An occurrence of steinstrasse in retrograde intra renal surgery for a large staghorn kidney stone – difficulty managing surgical outcomes

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 184
Author(s):  
Ponco Birowo ◽  
Nur Rasyid ◽  
Widi Atmoko ◽  
Bobby Sutojo
Keyword(s):  
Case Report ◽  
Surgical Outcomes ◽  
Kidney Stone ◽  
Renal Surgery ◽  
Retrograde Intrarenal Surgery ◽  
Stone Size ◽  
Life Threatening ◽  
Detailed Assessment ◽  
Staghorn Stone ◽  
Staghorn Stones

Immediate removal of staghorn stones is compulsory to prevent life-threatening complications. The advancement of endoscopic technology makes retrograde intrarenal surgery (RIRS) a favorable treatment to remove large stones over the standard percutaneous nephrolithotomy (PCNL). Without careful considerations, it can cause the formation of steinstrasse. Here, we present the case of a 68-year-old man with multiple stones along his right urogenital duct after being treated with RIRS to remove a staghorn stone. After 2 years of multiple interventions, the steinstrasse was completely removed. To prevent this complication, detailed assessment of the stone (size, location) and renal anatomy should be performed prior to the procedure.

scholarly journals Forgotten double J stent in crossed renal fused ectopia: a rare case report

2020 ◽  
Vol 7 (10) ◽  
pp. 3497
Author(s):  
Prashant Kumar ◽  
Sachin Joseph ◽  
Pabitra Kumar Misra ◽  
Kiran S. Nair
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Renal Dysfunction ◽  
Rare Case ◽  
First Trimester ◽  
Retrograde Intrarenal Surgery ◽  
Stent Removal ◽  
Double J Stent ◽  
Rare Case Report ◽  
Dj Stent

Ureteral double J (DJ) sent has now become one of the most commonly used tools in endourology. Complications are bound to occur if forgotten to remove, such as encrustations, infection, migration, renal dysfunction, hydronephrosis. Crossed renal fused ectopia is a very rare congenital malformation due to abnormal kidney ascent with fusion during embryogenesis in the first trimester. we report a very rare case of forgotten DJ stent in crossed fused ectopia, in 66 years old diabetic patient post left ureterorenoscopy (URS) done 3 years back. Retrograde intrarenal surgery (RIRS) was done for DJ stent removal right.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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