Hazem Elmansy*, Jafar Hussaen*, Mostafa Elhilali, Sero Andonian
Canadian Journal of Urology, Vol.23, No.5, pp. 8480-8482, 2016
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. More >