Case report: Treatment of urinary calculi using percutaneous nephrolithotomy in patient with ileal conduit and history of bladder transitional cell carcinoma

Ponco Birowo; Made Parulian Tambunan; Nur Rasyid; Widi Atmoko

doi:10.1016/j.eucr.2020.101330

Case report: Treatment of urinary calculi using percutaneous nephrolithotomy in patient with ileal conduit and history of bladder transitional cell carcinoma

Urol Case Rep. 2020 Jun 26:33:101330. doi: 10.1016/j.eucr.2020.101330. eCollection 2020 Nov.

Authors

Ponco Birowo¹, Made Parulian Tambunan¹, Nur Rasyid¹, Widi Atmoko¹

Affiliation

¹ Department of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Pangeran Diponegoro Street No. 71, Senen Subdistrict, Central Jakarta District, Jakarta, 10430, Indonesia.

Abstract

Urinary calculi are a frequent complication of urinary diversion following radical cystectomy, including in ileal conduit systems. We report the case of a 38-year-old man with ileal conduit urinary diversion, following radical cystectomy for transitional cell cancer, who presented with symptomatic bilateral kidney stones. By reporting the medical record and management procedure for this patient, we aim to demonstrate the successful management of kidney stones via supine percutaneous nephrolithotomy, using an Alken telescopic metal dilator, under spinal anesthesia. Consistent with most literature, percutaneous nephrolithotomy was the best management procedure in this case.

Keywords: AMTD, Alken Telescopic Metal Dilator; BD, Balloon dilator; Bilateral calculus kidneys; CT, Computed tomography; ESWL, Extracorporeal Shock Wave Lithotripsy; Ileal conduit; LPF, Low-power field; PCNL, Percutaneous Nephro Lithotomy; Percutaneous nephrolithotomy; Radical cystectomy; URS, Ureteroscopy.

Publication types

Case Reports