V01-12 ROBOTIC URETEROLITHOTOMY FOR RETAINED STENT WITH MASSIVE ENCRUSTATION: CASE REPORT AND REVIEW OF THE LITERATURE

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You have accessJournal of UrologyCME1 Apr 2023V01-12 ROBOTIC URETEROLITHOTOMY FOR RETAINED STENT WITH MASSIVE ENCRUSTATION: CASE REPORT AND REVIEW OF THE LITERATURE Lily Kong, Nathaniel Coddington, Gary Shahinyan, and Brian Flynn Lily KongLily Kong More articles by this author , Nathaniel CoddingtonNathaniel Coddington More articles by this author , Gary ShahinyanGary Shahinyan More articles by this author , and Brian FlynnBrian Flynn More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003221.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Massive encrustation is a rare complication of retained foreign bodies in the urinary tract. Large stone size and coexisting artificial material can limit endoscopic options, necessitating surgical removal. We present a case of massive encrustation of a retained ureteral stent treated with robotic-assisted laparoscopic (RAL) ureterolithotomy. METHODS: We reviewed the medical records of a patient with massive encrustation of a retained ureteral stent placed one year prior in Colombia who was treated with RAL ureterolithotomy at our institution. Footage captured on the da Vinci Xi System was edited in Adobe Premiere to provide a video representation of our technique. A brief literature review was performed in MEDLINE, Emboss, and Preprints using the search term "robotic ureterolithotomy," which resulted in 88 studies. These were reviewed by two investigators for content and applicability, resulting in five studies included for review. RESULTS: Case duration was 194 minutes with an estimated blood loss (EBL) of approximately 15 ml. There were no complications and the patient was discharged on post-op day three with a right ureteral stent and percutaneous nephrostomy tube. Her stent was removed at a subsequent follow-up visit, as was her nephrostomy tube following a successful clamp trial. Due to difficult social circumstances, she is pending follow-up for renal lasix scan.Review of the literature showed 100% stone free rates in adults treated with RAL ureterolithotomy. Our case duration and EBL were similar to published reports, although the stone was significantly larger, at approximately 13 cm. CONCLUSIONS: RAL ureterolithotomy is safe and effective in the treatment of massively encrusted ureteral stents. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e83 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lily Kong More articles by this author Nathaniel Coddington More articles by this author Gary Shahinyan More articles by this author Brian Flynn More articles by this author Expand All Advertisement PDF downloadLoading ...