Single session endoscopic management of intrinsic ureteropelvic junction obstruction and concomitant renal stone disease in a child: a case report.

Murat Ugras,Ali Gunes,Can Baydinc,Ugur Yilmaz

doi:10.1186/1471-2490-2-11

Abstract

BackgroundPercutaneous nephrolithotomy is a well known therapeutic modality for stone diseases of childhood. Antegrade and retrograde endopyelotomies are also well defined options of treatment for secondary ureteropelvic junction obstruction. Yet there are few reports regarding endoscopic therapy of intrinsic ureteropelvic junction obstruction. To our knowledge, there exist only a few reports of endosurgical treatment of children with stone disease and with concomitant intrinsic ureteropelvic junction obstruction, in the literature.Case presentationWe present the endoscopic management of stone disease and concomitant intrinsic ureteropelvic junction obstruction of a child in one session.ConclusionPercutaneous nephrolithotomy and antegrade endopyelotomy is combined safely with successful outcome in a child.

Highlights

Percutaneous nephrolithotomy is a well known therapeutic modality for stone diseases of childhood
Stone disease in childhood is managed with success rates of 83% to 100% by percutaneous nephrolithotomy (PNL) [3,4]
The degree of the hydronephrosis was not enough to explain the reduced functional share of the right kidney, and the patient could have had some urinary infections contributed to the detoriation of the renal functions and to the stone formation. After informing her parents on stone disease of childhood, ureteropelvic junction obstruction (UPJO), current treatment modalities and complications, surgical team and family decided on performing PNL and endopyelotomy

Summary

Introduction

Percutaneous nephrolithotomy is a well known therapeutic modality for stone diseases of childhood. The degree of the hydronephrosis was not enough to explain the reduced functional share of the right kidney, and the patient could have had some urinary infections contributed to the detoriation of the renal functions and to the stone formation. After informing her parents on stone disease of childhood, UPJO, current treatment modalities and complications, surgical team and family decided on performing PNL and endopyelotomy.

Results

Conclusion