Laparoscopic Ureterolithotomy in a Patient with Severe Lumbar Scoliosis and Large Proximal Ureteric Calculi
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Abstract
This case report outlines the effective management and outcome of a 26 years old male patient with lumbar scoliosis and multiple large left ureteric calculi with moderate hydronephrosis. The patient visited the outpatient urology department with a complaint of left flank pain persisting for four months. Imaging revealed multiple large stones in the left proximal ureter, with the largest measuring over 3 cm. Because of the anatomical complexities associated with severe lumbar scoliosis and the significant stone burden, the patient was not an ideal candidate for extracorporeal shock wave lithotripsy (ESWL) or ureteroscopic lithotripsy (URSL). Instead, laparoscopic ureterolithotomy was successfully performed, yielding favorable results. This report examines the surgical approach, challenges, and benefits of laparoscopic ureterolithotomy in comparison to other treatment options, including percutaneous nephrolithotomy, open ureterolithotomy, extracorporeal shock wave lithotripsy, and laser lithotripsy.
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Copyright (c) 2025 Dr. Ankit Anand, Dr. Himanshu Garg, Dr. Aditya Singh Rathore, Dr. Sorani Bhupatbhai Ramsurbhai, Dr. Prachi Singh
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Dr. Ankit Anand, M.Ch. Genitourinary Surgery, Asst. Prof. T.S. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
M.Ch. Genitourinary Surgery, Asst. Prof. T.S. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
Dr. Himanshu Garg, General Surgery Pg 2nd Year, T.s. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
General Surgery Pg 2nd Year, T.s. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
Dr. Aditya Singh Rathore, dr.General Surgery Pg 2nd Year, T.S. MisHra Superspecialty Hospital & Medical College, Lucknow, India.
General Surgery Pg 2nd Year, T.S. MisHra Superspecialty Hospital & Medical College, Lucknow, India.
Dr. Sorani Bhupatbhai Ramsurbhai, General Surgery Senior Resident, T.S. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
General Surgery Senior Resident, T.S. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
Dr. Prachi Singh, General Surgery Pg 2nd Year, T.s. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
General Surgery Pg 2nd Year, T.s. Mishra Superspecialty Hospital & Medical College, Lucknow, India.
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