Flexible cystoscopy and laser stone fragmentation via Mitrofanoff stoma: A case series. (September 2022)

• Record Type: Journal Article
• Authors: Conway, Joanne M; Christodoulidou, Michelle; Reid, Sheilagh; Patterson, Jake M
• Is Part Of: Journal of clinical urology. Volume 15:Number 5(2022)
• Page Start: 376
• Page End: 379
• Publication Date: 2022-09
• Subjects: Urolithiasis -- reconstruction -- endourology -- FNUU -- novel technique; Genitourinary organs -- Surgery -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urology -- Periodicals; 616.6005
• DOI: 10.1177/2051415820987665
• Languages: English
• ISSNs: 2051-4158

Abstract

Objective: This case series aimed to demonstrate that flexible cystoscopy and laser stone fragmentation via a Mitrofanoff stoma is possible and an effective treatment for symptomatic bladder stones in complex patients with inaccessible urethras and challenging anatomy. Patients and methods: We present three cases which were managed in a tertiary centre. The procedure involved using a flexible cystoscope via the Mitrofanoff stoma and laser stone fragmentation without the need for an access sheath. Results: This technique was performed safely and demonstrated successful bladder stone clearance on follow-up, with no postoperative complications. Conclusion: Our case series illustrates a technique that can be performed in this select group of patients in specialist centres with the relevant surgical exposure and expertise. Level of evidence: Level 4.