“Killing two birds with one stone”: endoscopic management of PUJ and VUJ obstructions with a renal stone in a congenital solitary kidney

Keywords: solitary kidney, pelviureteric junction obstruction, vesicoureteric junction obstruction, renal calculus, endoscopy

Abstract

We report on the diagnosis and management of a 25-year-old female with a congenital solitary kidney associated with simultaneous pelviureteric (PUJ) and vesicoureteric (VUJ) junction obstructions complicated by a lower pole renal stone. The patient was successfully managed completely endoluminally over two procedures with the use of double-J stents and a laser fibre to incise the VUJ and perform endopyelotomy at the PUJ followed by extraction of the stone. This case demonstrates the efficacy and minimal invasive endoscopic urological surgery even in the face of numerous pathologies, which traditionally required more invasive procedures.

Author Biographies

C Christofides, University of the Witwatersrand

Department of Urology, Helen Joseph Hospital and Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa

M Carides, Bertha Gxowa Hospital

Outpatient Department, Bertha Gxowa Hospital and Wits Donald Gordon Medical Centre, South Africa

A Adam, University of the Witwatersrand

Department of Urology, Helen Joseph Hospital and Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand and Wits Donald Gordon Medical Centre, South Africa

Published
2021-12-08
How to Cite
Christofides, C., Carides, M., & Adam, A. (2021). “Killing two birds with one stone”: endoscopic management of PUJ and VUJ obstructions with a renal stone in a congenital solitary kidney. South African Journal of Surgery, 59(4), 197. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/3577
Section
Case Reports