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Correspondence to Author: Dr. Sonu Sharma, Dr. Rohit Kapoor, Dr. Vikram Satav, Dr. Vilas Sabale, Dr. Deepak Mane, Dr. Abhirudra Mulay, Dr. Sunil Mhaske. 

1. Dr. Sonu Sharma, Former Assistant Professor, Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9766902726, Email: sharmasonubt@yahoo.com
2. Dr. Rohit Kapoor, Former urology resident Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 8604608250 Email: dr.kapoor.rohit@gmail.com
3. Dr. Vikram Satav, Professor, Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9822208145, Email: vikramsatav@yahoo.com
4. Dr. Vilas Sabale. Professor and Head of Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9822004630
5. Dr. Deepak Mane, Associate professor Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9371009103, Email: Deepak_mane@yahoo.com
6. Dr. Abhirudra Mulay, Professor Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9822654646, Email: Dr_abhirudra@yahoo.com
7. Dr. Sunil Mhaske Associate professor Department of Urology, Dr D. Y. Patil Medical College, Pimpri, Pune-18, Maharastra, India. Tel: 9657444015, Email: Drsunilmhaskhe81@yahoo.co.in

Abstract:

Background:The term Giant ureteric calculus can be can be used to describe calculus measuring more than 5cm or weighing more than 50gm. An impacted calculus may continue to increase in its longitudinal diameter rather than the transverse diameter after some time and becomes oblong shaped .
Case report:A 60 year old female presented with complaints of pain in both flanks radiating to her back and groin region since 15 days with deranged serum creatinine of 3.5 gm/dl and serum urea 70mg/dl. Xray-KUB and NCCT-KUB revealed presence of a giant left ureteric calculus of 9x3 cm with a right ureteric calculus of 26mm. She underwent right DJ stent placement, and Left percutaneous nephrostomy (PCN) insertion. Patient underwent a right ureterorenoscopic lithotripsy (URSL) followed by left laparoscopic ureterolithotomy.
Discussion: Historically, open ureterolithotomy has been the procedure for choice for such large stones, but with the advancements in minimally invasive surgery, laparoscopic/robotic removal of such large calculi has overtaken as the gold standard of treatment ,having the advantage of early post operative recovery, lesser intraoperative and post operative complications, lesser post operative pain, better cosmesis.
Keywords: Giant ureteric calculi, chronic kidney disease, ureterolithotomy, laparoscopy..

Citation:

Dr.Sonu Sharma, Giant Ureteric Calculi In Patient With Chronic Kidney Disease. Annals of Urology 2025.