CASE REPORT OF SIMULTANEOUS BILATERAL MINIPERCUTANEOS NEPHROLITHOTRIPSY IN PATIENT WITH BILATERAL NEPHROLITHIASIS

Abstract

The work aimed to establish the feasibility of performing simultaneous bilateral minipercutaneos nephrolithotripsy in a female patient with bilateral nephrolithiasis having medium sized concrements, and to describe the surgical technique.Materials and methods: а 54-year-old woman was diagnosed with the presence of medium sized stones in both kidneys. MSCT of the abdominal cavity without contrast showed the presence in the right kidney of one stone with a maximum diameter of 25mm, density 1440 HU, in the left - two stones located in the pelvis and upper calyx with a maximum diameter of 22 and 17mm. and a density of 2580 and 1440 HU, respectively. The patient underwent simultaneous bilateral minipercutaneos nephrolithotripsy.Results: the total operation time was 90 minutes. Intraoperative complications were not reported. The postoperative period was uneventful. The level of creatinine in the early postoperative period (after 1 day) was stable and amounted to 86 μMol / l. The patient was discharged in 48 hours after surgery. Ureteral stents were removed in seven days after the procedure. The MSCT of ab-dominal organs performed after 2 weeks without contrast demonstrated the absence of stone and normal functioning of both kid-neys.Conclusions: Simultaneous bilateral mini-percutaneous nephrolitholapaxy is a safe procedure and can be offered as a method of surgical treatment of bilateral nephrolithiasis in patients with medium sized stones. These manipulations can be performed by highly qualified endoscopic urologists in specialized clinics.