Treatment of urinary calculi after Yang-Monti ileal ureter reconstruction: a case report

Zhenxing Wang,Guangheng Luo,Zhaolin Sun,Xiushu Yang,Ye Tian

doi:10.1186/s12894-019-0443-y

Zhenxing Wang, Guangheng Luo + Show 3 more

Open Access

https://doi.org/10.1186/s12894-019-0443-y

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Abstract

BackgroundThe development of ureteral calculi after Yang-Monti ileal ureter reconstruction has not been reported. This study was performed to explore the safety and effectiveness of ureteroscopy combined with laser lithotripsy in the treatment of ipsilateral lower ureteral calculi and lower calyceal calculi after Yang-Monti ileal ureter reconstruction.Case presentationA 48-year-old man was admitted to our hospital with ipsilateral distal ureteral calculi and ipsilateral lower calyceal calculi. One year prior to this admission, the patient had undergone Yang-Monti ileal ureter reconstruction due to long-segment ureteral stenosis. After conservative treatment failed, we used a rigid ureteroscope with a holmium laser to break up the distal ureteral calculi, and successfully removed the renal calculi with a digital flexible ureteroscope and basket extractor.ConclusionThe successful outcome of the present case suggests that ureteroscopy combined with laser lithotripsy is a valuable option for the management of urinary calculi following Yang-Monti ileal ureter reconstruction.

Highlights

The development of ureteral calculi after Yang-Monti ileal ureter reconstruction has not been reported
The successful outcome of the present case suggests that ureteroscopy combined with laser lithotripsy is a valuable option for the management of urinary calculi following Yang-Monti ileal ureter reconstruction
We used ureteroscopy combined with laser lithotripsy to successfully treat a patient with ipsilateral distal ureteral calculi and ipsilateral lower calyceal calculi after Yang-Monti ileal ureter reconstruction due to long-segment ureteral stenosis

Summary

Introduction

Conclusion: The successful outcome of the present case suggests that ureteroscopy combined with laser lithotripsy is a valuable option for the management of urinary calculi following Yang-Monti ileal ureter reconstruction. Background The development of ureteral calculi after Yang-Monti ileal ureter reconstruction has not been reported.

Results

Conclusion