Discussion on the operative time of two stage soft ureteroscope lithotripsy for hemorrhagic embolism after percutaneous nephrolithotomy

Abstract

Objective To investigate the the operative time of two stage soft ureteroscope lithotripsy for hemorrhagic embolism after percutaneous nephrolithotomy(PCNL). Methods The clinical data of 1 patient with massive hemorrhage after PCNL who treated with superselective renal artery embolization and ureteral soft lens were analyzed. Results The patient with postoperative bleeding after PCNL was treated with superselective renal artery branch embolization, after 30d embolization, the holmium laser lithotripsy under the soft ureteroscope for ureteral calculi was performed, and the renal pelvis mucosa smooth, no bleeding and scar formation were intraoperative visible. After operation, the stone was removed basically, and the double J tube was removed 2 weeks after operation. The patient had no special discomfort and the renal function was normal. Conclusion Postoperative 14-30d is a relatively safe time to perform flexible ureteroscopic lithotripsy for super selective renal artery embolization in the treatment of patient with massive hemorrhage after PCNL. Key words: Nephrostomy, percutaneous; Postoperative hemorrhage; Embolization therapeutic; Ureteroscopes; Lrthoripsy