Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report

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dc.contributor.authorRujithamkul M.
dc.contributor.authorSirisopana K.
dc.contributor.authorPiyawannarat S.
dc.contributor.authorPhengsalae Y.
dc.contributor.authorSangkum P.
dc.contributor.authorKongchareonsombat W.
dc.contributor.authorKetsuwan C.
dc.contributor.correspondenceRujithamkul M.
dc.contributor.otherMahidol University
dc.date.accessioned2025-09-05T18:19:46Z
dc.date.available2025-09-05T18:19:46Z
dc.date.issued2025-11-01
dc.description.abstractRecurrent 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.
dc.identifier.citationUrology Case Reports Vol.63 (2025)
dc.identifier.doi10.1016/j.eucr.2025.103190
dc.identifier.issn22144420
dc.identifier.scopus2-s2.0-105014540743
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/123456789/111945
dc.rights.holderSCOPUS
dc.subjectMedicine
dc.titleSimultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report
dc.typeArticle
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=105014540743&origin=inward
oaire.citation.titleUrology Case Reports
oaire.citation.volume63
oairecerif.author.affiliationFaculty of Medicine Ramathibodi Hospital, Mahidol University

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