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‘Case of the Month’ from Tenon Hospital, Paris, France: tricky management of a large lower pole stone

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The treatment of kidney stones can sometimes be challenging, especially when confronted with lower pole stones (LPS). According to the European Association of Urology (EAU), for symptomatic LPS, we have… Click to show full abstract

The treatment of kidney stones can sometimes be challenging, especially when confronted with lower pole stones (LPS). According to the European Association of Urology (EAU), for symptomatic LPS, we have a wide range of surgical approaches available. For large stones of >20 mm we have percutaneous nephrolithotomy (PCNL) as the first treatment of choice, followed by retrograde intrarenal surgery (RIRS) and shockwave lithotripsy (SWL) as the second and third treatments of choice, respectively [1]. However, the configuration of the LP can make it difficult for the urologist to always reach the stone at the beginning of the procedure and to attain the right positioning for fragmenting the stone. In this case report, we present a patient who underwent flexible ureteroscopy (F-URS) for a large left LPS.

Keywords: lower pole; stone; case month; month tenon; stone case

Journal Title: BJU International
Year Published: 2020

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