Large Lower Uretric Calculus cleared with Holmium Laser

This is the plain CT image of a 55 y gentleman who presented with left flank pain, revealing a large 2.7x1.6 cm left lower ureteric calculus. It was completely fragmented by holmium laser endoscopically. He was discharged on the next day in a stable condition.

Post Op KUB

UTERINE PROLAPSE CAUSING OBSTRUCTIVE UROPATHY AND RENAL DYSFUNCTION

UTERINE PROLAPSE

A 55 Y lady presented with features of chronic renal failure. On detailed history she also complained of recurrent uterine prolapse for the past 15 years. On evaluation she had bilateral severe hydroureteronephrosis and renal parenchymal atrophy. Her serum creatinine was - 2.5 mg%.
Cystoscopy showed severe urethral kinking and a grossly trabeculated bladder. RGP revealed B/l severely dilated and tortuous ureters. B/l Double J stents were kept with extreme difficulty, and a vaginal hysterectomy was done. post operative period was uneventful.

Plain CT S/O B/L Gross Hydroureteronephrosis

Plain CT S/O B/L Gross Hydroureteronephrosis