Open nephrectomy: The extreme measure for sepsis after flexible-ureteroscopy (f-URS) procedure

Giulio Gaetano Guarino; Davide Campobasso; Pietro Granelli; Maestroni Umberto Vittorio; Stefania Ferretti

doi:10.1016/j.eucr.2021.101715

Open nephrectomy: The extreme measure for sepsis after flexible-ureteroscopy (f-URS) procedure

Urol Case Rep. 2021 May 14:38:101715. doi: 10.1016/j.eucr.2021.101715. eCollection 2021 Sep.

Authors

Giulio Gaetano Guarino^{1

2}, Davide Campobasso¹, Pietro Granelli³, Maestroni Umberto Vittorio¹, Stefania Ferretti³

Affiliations

¹ Department of Urology, University Hospital of Parma, Via Gramsci 14, Parma, 43126, Italy.
² Department of Urology, Azienda Ospedaliero-Universitaria, Urological Residency School Network, University of Modena & Reggio Emilia, Modena, Italy.
³ SS Endourology and Less Invasive Percutaneous Surgery, Department of Urology, University Hospital of Parma, Via Gramsci 14, Parma, 43126, Italy.

Abstract

URS is considered a safe method of stone treatment. Complications most often do not exceed grade II of the Clavien Dindo classification. Although it is considered safe, in some cases major complications may occur from grade III onwards. A 50-year-old man underwent f-URS for a 2.7 × 1.2 cm left medium caliceal stone; after surgery patient developed an intraparenchymal renal abscess and concomitant pulmonary and hepatic septic emboli. Despite attempts to treat it conservatively, nephrectomy was the only effective treatment. The f-URS is minimally invasive and effective procedure, although it is not free from complications.

Keywords: Complication; Nephrectomy; Sepsis; Ureteroscopy.

Publication types

Case Reports