@Article{,
AUTHOR = {Curtis Clark, Jason Bylund, Matthew Paszek, Chad LaGrange, Vernon M. Pais Jr},
TITLE = {Novel approach for removal of heavily encrusted ureteral stent},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {16},
YEAR = {2009},
NUMBER = {5},
PAGES = {4831--4835},
URL = {http://www.techscience.com/CJU/v16n5/62129},
ISSN = {1488-5581},
ABSTRACT = {<b>Objectives and background:</b> We describe a novel approach for removal of a retained, heavily encrusted ureteral stent via combined laparoscopic cystolithotomy and pyelolithotomy. Due to noncompliance, our patient with a history of nephrolithiasis returned with large proximal and distal stones 2.5 years after placement of a left ureteral stent.<br/>

<b>Methods:</b> Laparoscopy was performed using three 12 mm ports and two 5 mm ports. The bladder was opened in the midline and the stent divided at the ureteral orifice. The bladder stone (4.7 cm x 4 cm) was placed in a retrieval bag and the cystotomy closed with vicryl suture. The proximal ureter and renal pelvis were dissected free and incised. The stent with 2.3 cm x 1.5 cm stone on the proximal curl was removed. The incision was closed transversely with vicryl suture.<br/>

<b>Results:</b> The patient's recovery was uneventful, including drain removal prior to discharge on postoperative day 3. The foley was removed after a negative cystogram 7 days later. Analysis revealed calcium phosphate and struvite stones. Left ureteroscopy 2 months later revealed a widely patent proximal ureter. No complications have been identified.<br/>

<b>Conclusions:</b> Laparoscopic cystolithotomy with stent division combined with pyelolithotomy can be performed safely and successfully as a single procedure to remove the heavily encrusted ureteral stent.},
DOI = {}
}