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How to manage an impacted UPJ stone by RIRS

June 17, 2016

Information.
1.8cm sized UPJ impacted stone and some additional small renal caliceal stones
 

 

Ureteral access sheath positioning:

- about 3 cm below the UPJ stone

 

 


0:00 - 7:26.  

- Initial dusting with low pressure by manual irrigation not to move the stone, Escargo technique (dusting from outside to inside)
7: 26 - 8: 15.

- Trendelenburg position and stone migration to upper or midpole calyx
8:15 - 10:16.

- Basketing the small fragmented stone to analyze stone composition and culture
10:16 - End.

- Final dusting for complete stone-free status

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Basketing and Dusting

February 4, 2016

1/1
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