Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2020; 8(7): 1301-1305
Published online Apr 6, 2020. doi: 10.12998/wjcc.v8.i7.1301
Rigid ureteroscopy in prone split-leg position for fragmentation of female ureteral stones: A case report
Kai Huang
Kai Huang, Department of Urology, Clinical Medicine College, Yangzhou University, Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China
Author contributions: Huang K wrote this case report.
Informed consent statement: Consent was obtained from the patient.
Conflict-of-interest statement: We have no conflicts of interests to declare.
CARE Checklist (2016) statement: The authors revised the manuscript according to the requirements of CARE Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Kai Huang, PhD, Doctor, Surgeon, Surgical Oncologist, Department of Urology, Clinical Medicine College, Yangzhou University, Northern Jiangsu People's Hospital, No. 98 West Nantong Road, Yangzhou 225001, Jiangsu Province, China. huangkai_2015@163.com
Received: October 24, 2019
Peer-review started: October 24, 2019
First decision: January 17, 2020
Revised: January 18, 2020
Accepted: March 5, 2020
Article in press: March 5, 2020
Published online: April 6, 2020
Processing time: 164 Days and 19.3 Hours
Abstract
BACKGROUND

Ureteroscopy is widely used in the treatment of ureteral stones due to the increased morbidity of urolithiasis. This is the first report of a case of ureteral calculi treated with rigid ureteroscopy in the modified prone split-leg position.

CASE SUMMARY

A 62-year-old Asian woman was diagnosed with a ureteral stone and underwent extracorporeal shock wave lithotripsy twice. However, the abdominal computer tomography scan showed persistent calculi on the right lower ureter. Her left hip movement was limited because of a left femoral neck fracture that did not receive proper treatment in a timely manner. She was unable to undergo surgery in the lithotomy position and refused to accept flexible ureteroscopy treatment. Therefore, rigid ureteroscopy was performed with her in the modified prone split-leg position. The ureteral calculi were successfully fragmented.

CONCLUSION

It is feasible to treat lower ureteral calculi in women in the prone split-leg position with the implementation of rigid ureteroscopy.

Keywords: Ureteroscopy; Ureteral calculi; Lithotripsy; Prone position; Female; Case report

Core tip: Ureteroscopy is widely used in the treatment of ureteral stones due to the increased morbidity of urolithiasis. In some special cases, ureteroscopic surgery cannot be performed by conventional positioning. This is the first report about a case of ureteral calculi treated with rigid ureteroscopy in a modified prone split-leg position. Due to the patient's hip disease, she was unable to undergo surgery in the lithotomy position. In this case, we successfully fragmented the ureteral stone. We think it is feasible to treat lower ureteral calculies in woman in the prone split-leg position with the implementation of rigid ureteroscopy.