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

Sep 30, 2016 easyuro (41-2016-0018555). All rights reserved.

There is no conflict of interest in this website.

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