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Brief Summary for ECIRS

Revised Jan. 2016

Example of performing ECIRS

[ECIRS 01] 


A staghorn stone including renal pelvis stone connected to midpole and lower pole stones, another upper pole stone. [left]

Another upper pole stone (12x11x11mm) with a narrow upper major calyx. [right]



[ECIRS 02] 


Percutaneous puncture [prove versus supine]

I usually prefer supine to prone position. 

What is your option?

Usually prone and sometimes supine?

Usually psupine and sometimes prone?

Always supine? Always prone?

[ECIRS 03] 


18Fr MPCNL removed stones in the renal pelvis and the lower pole stones. [left]

Remnant stones in the mid-anterior pole and the upper pole stone inaccessible by the nephroscope. [right] 

What is your option?

Postop ESWL? Additional percutaneous tracts? Flexible cysto/urethroscope? 



[ECIRS 04] 


Flexible cystoscopy insertion. Midpole stone fragmentation by flexible cystoscope but the upper pole stone was inaccessible by the flexible cystoscope because of the narrow upper major calyx.

[ECIRS 05] 


RIRS was performed for the upper pole stone and completely fragmented.


[ECIRS 06] 


Irrigation for complete stone-free status.


Example of performing PCNL + contralateral RIRS

Postop KUB

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