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Pyelocystostomy for treatment of recurrent nephrolithiasis and ureteropelvic junction obstruction in a pelvic kidney

Hazem Elmansy^*, Jafar Hussaen^*, Mostafa Elhilali, Sero Andonian

Division of Urology, Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada
* equal first authorship
Address correspondence to Dr. Sero Andonian, Royal Victoria Hospital, McGill University Health Centre, 1001 Boulevard Decarie, Suite D05.5331, Montreal, QC H4A 3J1 Canada

Canadian Journal of Urology 2016, 23(5), 8480-8482.

Abstract

Patients with pelvic kidneys are at an increased risk of developing ureteropelvic junction obstruction (UPJO) and nephrolithiasis with limited endourologic options. A 54-year-old man with a left pelvic kidney, recurrent nephrolithiasis, and 12 previous ureteroscopies presented with left UPJO and lower pole calyceal stones. After two failed ureteroscopic attempts, an open pyelolithotomy and pyelocystostomy were performed. After 30 months, he continues to be asymptomatic without recurrence of nephrolithiasis. This constitutes the fifth such reported case. Therefore, pyelocystotomy is a good option for patients with pelvic kidneys, UPJO and recurrent nephrolithiasis refractory to endourologic procedures.

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