Bilateral PCNL in a patient with ileal conduit
Background
A 63-year-old male presented with bilateral flank pain.
Diagnosis & Treatment
On imaging, he was found to have bilateral multiple calculi and simple cysts. Challenges in the surgery were the retrograde access to pelvicalyceal system. It is challenging for the surgeon to differentiate between urine and cyst fluid on aspiration, visualise system after gaining access, gain perfect calyceal access for stone clearance to minimize bleeding, finish the surgery quickly to prevent sepsis. The team successfully managed the condition by left PCNL, followed by another on the right side one month apart. The patient was discharged 2 days after the procedure in satisfactory condition.
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