Mini-percutaneous nephrolithotomy with ureteral access sheath in a transplanted kidney: case report and literature review Journal Article


Authors: Kadlec, A. O.; Ross, M. J.; Milner, J. E.
Article Title: Mini-percutaneous nephrolithotomy with ureteral access sheath in a transplanted kidney: case report and literature review
Abstract: This is the case of a 69-year-old woman with a history of right iliac fossa living-related kidney transplant that developed acute renal failure due to an obstructing stone in the proximal transplant ureter. She was successfully treated with mini-percutaneous nephrolithotomy wherein a 14-Fr tract was created with serial dilation and a 14-Fr ureteral access sheath was used for access. A flexible ureteroscope with holmium laser and a helical wire basket were used to fragment and extract the stone, respectively. A 10-Fr nephrostomy tube was left for postoperative drainage. There are only a few published reports of mini-percutaneous nephrolithotomy in transplant kidneys, but those reports suggest that the procedure is safe and effective.
Journal Title: Urologia internationalis
Volume: 91
Issue: 2
ISSN: 1423-0399; 0042-1138
Publisher: S. Karger AG, Basel  
Journal Place: Switzerland
Date Published: 2013
Start Page: 236
End Page: 238
Language: eng
DOI/URL:
Notes: CI: (c) 2013; JID: 0417373; 2012/08/07 [received]; 2012/09/22 [accepted]; 2012/12/05 [aheadofprint]; ppublish