URETEROSCOPY – AS EMERGENCY TREATMENT PERFORMED FOR URETERAL STONES IN SOLITARY KIDNEY

Razvan Cosmin Petca; Razvan Ionut Popescu; Florica Sandru; Aida Petca; Mihai Cristian  Dumitrascu; Daniel Badescu

doi:10.33695/rojes.v1i1.1

Razvan Cosmin Petca "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
Razvan Ionut Popescu „Prof. Dr .Th. Burghele” Clinical Hospital, Bucharest, Romania
Florica Sandru “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Aida Petca “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Mihai Cristian Dumitrascu “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Daniel Badescu “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

DOI: https://doi.org/10.33695/rojes.v1i1.1

Keywords: solitary kidney, ureteroscopy, ureteral stone, acute renal failure, emergency

Abstract

Acute renal failure caused by ureteral stones represents one of the most important urologic emergencies. Patients with solitary kidney need periodic evaluation and increased attentions. The aim of this study is to evaluate the effectiveness of first choice ureteroscopy as definitive treatment for ureteral calculi in patients with solitary kidney. A series of 43 patients with solitary kidney for specific reasons who underwent primarily ureteroscopy were analyzed from 1 January 2018 to 31 October 2019 at “Prof. Dr. Th. Burghele” Clinical Hospital in Bucharest. All patients were imagistic evaluated with abdominal ultrasound, KUB and intravenous urography when possible. Blood tests and urine tests were analyzed for each case. There were excluded patients with fever or altered clinical status. We enrolled 25 men and 18 females with a mean age of 45.67 years old. The major symptoms at presentation were flank pain and oligo-anuria. Based on the imagistics we estimated a mean stone size about 6.74 mm. Frequently stones were located at pelvic level in 79.06% flowed by lumbar 16.27% and ureteropelvic junction 4.65% The stone free rate was 97.67% without major complications. All cases were standard ureteral stented for 3 weeks and were extracted after reevaluation. More and more studies consider that ureteroscopy as first line management can be a valid option instead of placing a nephrostomy tube or double J stent.

Author Biographies

Razvan Cosmin Petca, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania

Lecturer, Department of Urology, "Prof. Dr. Th. Burghele" Clinical Hospital

Florica Sandru, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Assistant professor, Department of Dermatology, Elias University Emergency Hospital, Bucharest, Romania

Aida Petca, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Lecturer, Department of Obstetrics and Gynecology, Elias University Emergency Hospital, Bucharest, Romania

Mihai Cristian Dumitrascu, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Lecturer, Department of Obstetrics and Gynecology, University Emergency Hospital, Bucharest, Romania

Daniel Badescu, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Lecturer, Deparment of Urology, „Prof. Dr .Th. Burghele” Clinical Hospital, Bucharest, Romania

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