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Buried Stones in Nephrocalcinosis

October 10, 2016

A middle-aged woman with bilateral stones (both large and small stones) was referred from local hospital and she  complained of Rt flank pain.

 

First, I tried Mini-PCNL (18Fr) on the right side. However, no stones were found in the renal pelvis and the lower pole calyx. Then I tried the flexible ureteroscopic exam. 

 

 

I found a small protruding stone which looked like a papillary or a submucosal stone. I tried dusting the stone as you can see the following video.

 

 

I could not find the other many buried stones in other calyces in both of the kidneys with the flexible ureteroscope. What is your next option?

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Basketing and Dusting

February 4, 2016

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