Extraction Of Ureteral Calculi With The Dormia Basket

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Morbidity associated with surgical treatment of ureteric

The least common procedure was ureteric meatotomy with Dormia basket and with or without double J stenting in 9 (1.3%) patients. therapeutic options for significant ureteral calculi today


lithotripsy and another four (7.84%, n=51) had calculi removed by Dormia basket (Table 3). All patients who had ureteroscopy had ureteral stent placement. There were no perforations or conversions,thus 102 patients had ESWL as their firsttreatment (81 for renal calculi and 21 for ureteric calculi). In this group

Ureteroscopy for treatment of obstructing ureteral calculi in

disintegration, while a basket or grasper was used for stone After ureteroscopic manipulation, a ureteral stent was in situ, and its proximal coil was checked by immediate renal Results Ureteric stones were found in 36 of the 41 patients. The stone size ranged from 5 to 16mm (mean 8.9mm). Distal ureteric stones were found in 29 cases.

Role of Double Pigtail Stent in U reteric Stone

Basket 2 1 % 21 00 Failed Stone Manipulation 7 2 Uretero-lithotomy No. % 5 16 7 78 Urinary Tract Infection CUTI) 5 3 ' Calculus and Dormia basket engaged at intramural ureter but extraction not possible. DISCUSSION Indwelling ureteic stents are known to produce reversible ureteric dilatation6 although the exact mechanism is not clear.

Ureteroscopic Pneumatic Lithotripsy of Impacted Ureteral Calculi

Lithotripsy of Impacted Ureteral Calculi under fluoroscopic and visual guidance. All patients were submitted to an intravenous pyelogram after 2 months to verify ureteral patency. RESULTS No complication was observed for stone smaller than 5 mm. For the 11 stones between 6 and 10 mm, there was 1 ureteral avulsion with the Dormia basket.

You have been booked for a Ureteroscopy Kidney/ureter Stone

vapourised and removed with a basket. Flexible uretero-renoscopy tends to be used for stones in the kidney and near the kidney in the upper ureter. Rigid ureteroscopy is mainly used for stones in the lower and mid ureter closed to the bladder. Ureteroscopic Treatment of Urolithiasis Extraction of ureteral stones with grasping forceps:


Ve started to use the Dormia ureteral basket ini971 passing iteither through the T-tube or, as described by Magarey, through asmall arterial catheter.5 Several case reports with this technique have ap-peared intheliterature. 7 23 26 37 We found thetechnique with small pre-shaped arterial catheters forplacement of

Retrograde Intrarenal Surgery for Lithiasis in Calyceal

Fig. 4 Dormia basket stone extraction from diverticular cavity Fig. 5 Incised calyceal infundibulum Fig. 6 Retrograde pielography for calyceal diverticulum lithiasis Results The mean age of patients was 57 years. The mean stone burden was 11 mm (range 7 18 mm). The mean operative time was 68.5 minutes (range 50 93.5 min-utes ).


ureteric calculi are a common occurrence.1 The treatment of ureteric stones ranges from watchful wait to ureteroscopy (URS) with intra-corporeal Lithotripsy (ICL), extracorporeal shock wave lithotripsy (ESWL), Dormia basket extraction and ureterolithotomy.2,3 Technological improvement in

Logesan Dhinakar, M.S., MCh(URO), MRCSEd

treatment of ureteric calculi included cystoscopic procedures like ureteric catheterisation, ureteric dilatation, dormia wire basket stone extraction, ureteric meatotomy or open ureterolithotomy. In the last two decades ureteroscopy has become an outstanding breakthrough in the diagnosis and treatment of a variety of ureteral and renal conditions.


As much as 98 % of ureteral calculi less than 5 mm in size may pass out of the body spontaneously. In the case of clinical symptoms (pain and fever) or even asymptomatic urinary tract obstruction, however, waiting cannot be the solution. Even small ureteral calculi may get trapped in a juxtavesical position.


ment of ureteral calculi (7). The calculus can be re-moved with the Dormia basket or fragmented with ultrasonic, ballistic or laser lithotriptors. The elec-trohydraulic lithotriptor should be avoided because of the higher risk of ureteral lesion (7). MATERIALS AND METHODS Eighteen pregnant patients from 20 to 34

Endourology New Vistas in the Management of Urinary Tract Disease

systems, in the normal course of events. Ureteral stones were till recently removed by open surgery or by basketing if expectant management failed to show downward progression. Dourmashkin's9 review of 1550 cases of ureteral calculi treated with ureteral dilatation with multiple catheters and balloons produced an overal success rate of 81.5%.

Role of Ureteral Stenting in Patients Undergoing Intra

lithotripsy, extracorporeal shock waves lithotripsy, dormia basket extraction and ureterolithotomy. Nowadays URS has become the treatment of choice for managing ureteral stones, especially for mid and distal ones. The recent improvement in the ureteroscopes regarding reduction of

International Archives of Medicine BioMed Central

ureteral calculi causing different degrees of hydronephro-sis by pneumatic disintegration and dormia extraction. The mean operative time was 55 min. The stone free rate reached 91%, the failures were due to retropulsion of the Female ((((($ (((((* $

Management of Iatrogenic Ureteral Injuries related to

Ureteral Avulsion risk factors uProximal ureteral calculi uSemirigid ureteroscope uOver guidewire, no ureteral dilatation uNo safety guidewire uScope felt tight in ureter uLaser lithotripsy uSmall fragment in stone basket uScope stuck in ureter uScabbard of ureter along scope uNephrostograms uBoth patients Lap. nephrectomy

Ureteroscopy for treatment of obstructing ureteral calculi in

Ureteroscopy is a safe and effective therapeutic option for the treatment of obstructing ureteral stones in pregnancy with stone-free and complication rates comparable to the non-pregnant population.


ureteral calculi between 01.01.2000. and 01.04.2005. analyzing the indications, results and complications. During the mentioned period 3601 intervention were performed all together for ureteral stones (SWL: 3278, URS:287, Zeiss loop and Dormia basket extraction: 36).

Supplementary Material Urolithiasis Read Codes Read code

Oct 23, 2014 K112.00 Hydronephrosis with renal and ureteral calculous obstruction 136 4G4Z.00 O/E: renal stone NOS 113 7B19212 Dormia basket extraction of ureteric calculus 102 7B19200 Cystoscopic extraction of ureteric calculus 84 7B18011 Ureteroscopic laser fragmentation of ureteric calculus 80

Emergency double-J stent insertion following uncomplicated

ximal, middle and distal third ureteral stones. URS stone extraction was achieved by Dormia basket and/or forceps. Thirty-eight out of 319 UURS had emer-gency stent insertion within 24 hours of initial URS due to intolerable colic and significant discomfort. Diagnostic URS was performed, prior to stenting, for defining a possible etiology or

Percutaneous Extraction of RenalandUreteral Calculi

ureteral catheter. Suction isperformed withanirrigating sy-ringeoranEllikevacuator. WireBaskets.-These instruments areinwideuseforstone extraction. Dormia-type basket extractors (Medi-Tech Inc., Watertown, MA02172, no.MPB15/120) areavailable in several styles, withvariations inthenumber (3,4,5)and length(2.6-4.0 cm)ofthewires, diameter ofthebaskets

Retrograde intrarenal surgery (RIRS)

Ureteral balloon dilator/catheters Ureteral balloon dilation may be utilized in approximately 5% of cases when the ureteral access sheath will not advance to the site of pathology due to ureteral stricture, spasm, or a tight ureteral orifice [13]. The Sri Lanka Journal of Surgery 2013; 31(3):48-53 48 Retrograde intrarenal surgery (RIRS)

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ureteral was done either by balloon or facial dilator For stones visual estimation of the stone size and its correlation with the lumen of the ureter led us to decide upon direct extraction using Dormia basket or ureteric forceps or intracorporeal lithotripsy and fragment extraction using Lithoclast. The use of ureteral double-

Case Report Possible Complications of Ureteroscopy in Modern

plications were especially associated with proximal-ureteral calculi. Geavlete and colleagues reported the intraoperative complication rate was % for proximal calculi and % for T : Classi cation of ureteral avulsion. One-point ureteral avulsion Two-pointureteralavulsion (discontinuity of ureter) Ureteral avulsion, when ureter rupture is in the

Percutaneous Nephrolithotomy through an Intercostal Approach

extraction a 6.7 to 8.0 mm (20 to 24 F) pyelostomy drainage catheter was inserted with a coaxial 2.3 mm (7 F) ureteral catheter in all but one patient. In 39 patients the entire procedure was performed in 2 stages with placement of a nephrostomy catheter one day, followed by dilatation of the

Management of symptomatic ureteral calculi during pregnancy

four patients. Extraction of stone by dormia was done in four patients with distal ureteric stones, while pneumatic lithotripsy and dormia extraction of fragments was performed successfully in the rest; the stone‑free rate was 100%. The DJ stent was left for 1 2 weeks and then removed (under local anesthesia in the outpatient clinic).

Ureterorenoscopic treatment 1 of ureteral stones: influence

sy. Smaller stones were retrieved with tweezers or Dormia basket for stone extraction. Preoperative antibacterial pro-phylaxis (1 g of cephasolin, a single dose applied intrave-nously 2 hours before the procedure) was administered to all patients, after which they were given uroantiseptics for a week (second generation kinolons). In case of severe

Extended Boari-flap technique as a reconstruction method of

complications. The ureteral avulsion is an uncommon severe urological complication of ureteroscopy (URS). Surgery in patients with a total ureteral loss is a demanding challenge for urologist. It requires usually im-mediate open or laparoscopic intervention. This case report was to present the treatment modality after ureteral avulsion.

A comparative study between a single dose pre-induction

Lithoclast was used as intracorporial lithotripter and Dormia basket was used for extraction of stone fragments. A DJ stent was inserted at the end of the procedure according to the surgeon's discretion. Our primary end point was symptomatic UTI. If any symptoms of

UROLOGICAL SURVEY - brazjurol.com.br

Ureteral avulsion during ureteroscopic stone management is extremely rare. To date, many publications re-porting avulsion have been associated with blind basket extraction under fluoroscopy and the use of the Dormia stone basket. Fortunately, despite the significant rise in the numbers of ureteroscopic cases being