Friday, April 5, 2013

PUSH BANG ESWL


A 30 year old gentleman presented with left flank pain of 3 weeks duration. He was a known case of renal stone disease and had history of graveluria on and off.
He was evaluated with imaging ; the Xray KUB was grossly normal but USG KUB revealed left upper ureteric calculus around 8 mm with proximal hydroureteronephrosis.

The patient was taken up for left URS. During URS the stone was pushed into the pelvicalyceal system.We did ESWL for the patient in the same sitting .There was excellent fragmentation and clearance of the calculus in first sitting itself
The patient s planned for stent removal after 2 weeks.
PROXIMAL URETERIC CALCULUS WITH HYDROURETERONEPHROSIS

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