RESEARCH ARTICLE


Perinephric Hematoma Following Ureteroscopy and Holmium Laser Lith-otripsy



Branden G. Duffey*, Joseph Y. Lee , Manoj Monga
Department of Urology, University of Minnesota Medical Center, Minneapolis, Minnesota, USA


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© Duffey et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Urology, University of Minnesota Medical Center, MMC 394, 420 Delaware St. SE, Minneapolis, MN 55455, USA; Tel: 612-625-3209; Fax: 612-624-4430E-mail:: duff0144@umn.edu


Abstract

We present a case of a ureteropyeloscopy with holmium laser lithotripsy for a 5mm distal ureteral calculus that was complicated by perinephric hemorrhage despite utilization of a ureteral access sheath and the absence of any bleeding disorders. Conservative management was elected and the patient did not require transfusion of blood products. We believe this is the first case of perinephric hemorrhage under these circumstances and suggest that surgeons inform their patients of the low risk of bleeding complications with ureteroscopy.

Keywords: : Urinary tract, calculi, lithotripsy, laser, hemorrhage..