After placing a guidewire the flexible ureteroscope is backloaded on the wire. The surgery is performed without a ureteral access sheath. After stone fragmentation residual fragments are retrieved from the ureter using stone baskets, and a stent is put in place to ensure sufficient drainage.
Reason for Ureteroscopy:
Obstructing ureter stone right side, placement of JJ stent two weeks previously.
- Uncomplicated
- JJ removed seven days post-surgery
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Stone analysis:
- 50% calcium oxalate 1 H2O
- 45% calcium oxalate 2 H2O
- 5% calcium hydroxyphosphate
- Stone-free on ultrasound six weeks post-surgery. No hydronephrosis.