{"title":"RIRS采用灵活可导航的输尿管吸入鞘和铥纤维激光治疗多发性大肾结石服用抗凝剂患者。临床病例。","authors":"Dmitriy Sytnik, Sergey Popov, Yury Mikheev","doi":"10.1016/j.eucr.2025.103153","DOIUrl":null,"url":null,"abstract":"<p><p>Percutaneous nephrolithotomy is one of the modern methods for treating kidney stones larger 2 cm. When anticoagulation therapy cannot be stopped, retrograde intrarenal surgery (RIRS) is recommended. We report a case of RIRS using flexible and navigable suction ureteral access sheath (FANS-UAS) and Thulium fiber laser (TFL) in a patient with multiple large kidney stones who could not be stopped on anticoagulant therapy. The surgery was successful and without complications. RIRS using FANS-UAS and TFL in this group of patients has high efficacy and safety.</p>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"103153"},"PeriodicalIF":0.4000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356322/pdf/","citationCount":"0","resultStr":"{\"title\":\"RIRS using a flexible and navigable suction ureteral access sheath and thulium fiber laser in a patient taking anticoagulants with multiple large kidney stones. Clinical case.\",\"authors\":\"Dmitriy Sytnik, Sergey Popov, Yury Mikheev\",\"doi\":\"10.1016/j.eucr.2025.103153\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Percutaneous nephrolithotomy is one of the modern methods for treating kidney stones larger 2 cm. When anticoagulation therapy cannot be stopped, retrograde intrarenal surgery (RIRS) is recommended. We report a case of RIRS using flexible and navigable suction ureteral access sheath (FANS-UAS) and Thulium fiber laser (TFL) in a patient with multiple large kidney stones who could not be stopped on anticoagulant therapy. The surgery was successful and without complications. RIRS using FANS-UAS and TFL in this group of patients has high efficacy and safety.</p>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"62 \",\"pages\":\"103153\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356322/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.eucr.2025.103153\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.eucr.2025.103153","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
RIRS using a flexible and navigable suction ureteral access sheath and thulium fiber laser in a patient taking anticoagulants with multiple large kidney stones. Clinical case.
Percutaneous nephrolithotomy is one of the modern methods for treating kidney stones larger 2 cm. When anticoagulation therapy cannot be stopped, retrograde intrarenal surgery (RIRS) is recommended. We report a case of RIRS using flexible and navigable suction ureteral access sheath (FANS-UAS) and Thulium fiber laser (TFL) in a patient with multiple large kidney stones who could not be stopped on anticoagulant therapy. The surgery was successful and without complications. RIRS using FANS-UAS and TFL in this group of patients has high efficacy and safety.
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