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Parapelvic cyst incision for Lower pole stones?

October 11, 2017

70 year-old man with a LT kidney lower pole (17x17x10mm), HU 900


CT scan:



Renal function (DTPA): separate renal functioni (RT: LT = 55: 45%), GFR (RT: LT = 36.0: 29.0)



You can check the acute IPA (infundibulopelvic angle because of the presence of a parapelvic cyst. What would you do for this? What about the incision of the parapelvic cyst? 




I performed parapelvic cyst incision and the cyst was collapsed. You can see the change of IPA.



Postoperative KUB showed that there is no remnant stone. I don't usually incise the parapelvic cyst but... do you think it is right in this situation?














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