Percutaneous and Endoscopic Management of Nephrolithiasis in a Patient with Five Native Ureters (Trifid Right and Bifid Left Collecting System)

Triplication of the ureter is a rare urologic finding that has been well described in the literature. Patients can present with urinary tract infections, incontinence, and calculi. We present the case of a patient with extensive stone burden with right trifid and left bifid collecting systems. Stone...

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Bibliographic Details
Published in:Journal of endourology case reports 2018, Vol.4 (1), p.32-34
Main Authors: Patel, Neel H, Ferretti, Mark J, Bloom, Jonathan B, Parikh, Suraj, Iorga, Michael, Uppaluri, Nikil, Schwalb, David, Eshghi, Majid, Fishman, Andrew
Format: Article
Language:English
Subjects:
Case Report
Case reports
Endoscopy
Lasers
Urology
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Summary:Triplication of the ureter is a rare urologic finding that has been well described in the literature. Patients can present with urinary tract infections, incontinence, and calculi. We present the case of a patient with extensive stone burden with right trifid and left bifid collecting systems. Stone management was performed with a multimodal approach using a combination of endoscopic and percutaneous approaches. Our systematic and staged approach highlights a method for efficacious stone treatment in a complex endourologic case.
ISSN:2379-9889
2379-9889
DOI:10.1089/cren.2017.0146