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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 4  |  Page : 439-441

Ureteroscopy-assisted retrograde nephrostomy for an obese patient


1 Department of Urology, Ohguchi Higashi General Hospital, Japan
2 Department of Urology, Yokohama City University Graduate School of Medicine, Japan

Correspondence Address:
Takashi Kawahara
Department of Urology, Ohguchi Higashi General Hospital, 2-19-1, Irie, Kanagawa-ku, Yokohama City, Kanagawa
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.105768

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Obesity is associated with increased surgical morbidity and mortality. We previously reported on the usefulness of ureteroscopy assisted retrograde nephrostomy (UARN) and here we report a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in an obese patient. A 63-year-old female with left renal calculi was referred to Department of Urology, Ohguchi Higashi General Hospital. Her body mass index was 34.0 kg/m 2 . Stone fragments were completely extracted. URS-assisted puncture from the renal collecting system to the skin under fluoroscopic guidance was a safe and easy procedure in our obese patient.


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