Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report
Issued Date
2025-11-01
Resource Type
ISSN
22144420
Scopus ID
2-s2.0-105014540743
Journal Title
Urology Case Reports
Volume
63
Rights Holder(s)
SCOPUS
Bibliographic Citation
Urology Case Reports Vol.63 (2025)
Suggested Citation
Rujithamkul M., Sirisopana K., Piyawannarat S., Phengsalae Y., Sangkum P., Kongchareonsombat W., Ketsuwan C. Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report. Urology Case Reports Vol.63 (2025). doi:10.1016/j.eucr.2025.103190 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111945
Title
Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report
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Corresponding Author(s)
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Abstract
Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.