Sharma Vikas*, Faridi Shazib, Sharma Aditya and Yadav Rahul
Department of Urology, Rajiv Gandhi Super Speciality Hospital, Tahirpur, Delhi, India
*Corresponding Author: Sharma Vikas, Department of Urology, Rajiv Gandhi Super Speciality Hospital, Tahirpur, Delhi, India.
Received: February 20, 2020; Published: February 29, 2020
Objective: To determine safety and efficacy of FOSML position in achieving simultaneous antegrade nephroscopic and retrograde ureteroscopic access in simultaneous management of renal and ureteric stone disease.
Methods: From May 2018 to August 2019, 10 procedures were performed in the FOSML position requiring management of renal stones by supine approach and retrograde uretroscopic lithotripsy for ureteric stones. The indication for these procedures was the presence of renal stone with ipsilateral or contralateral ureteric stone. All procedures were performed using simultaneous anterograde nephroscopic and retrograde ureteric access with the patient under general anesthesia.
Results: All patients underwent preoperative radiological investigation in form of noncontrast CT scan KUB along with anesthesia fitness related investigations. Out of 10 patients, 6 patients underwent supine Percutanous nephrolithotomy (SPCNL) with contralateral ureteroscopic lithotripsy and 4 patients underwent SPCNL with ipsilateral ureteroscopic lithotripsy. All patients underwent DJ stent placement after lithotripy or stone fragment removal and were discharged on second postoperative day.
Conclusion: Antegrade nephroscopic with retrograde ureteroscopic access is safe and effective in FOSML position. It has shorter operative time as both ureteric and renal stones are operated simultaneously and avoids staged approached to management of ureteric and renal stones.
Keywords: Supine Percutaneous Nephrolithotomy; Retrograde Ureteroscpy; FOSML Position; Ureteric Stone
Citation: Sharma Vikas., et al. “Flank Free Oblique Supine Modified Lithotomy Position (FOSML) for Simultaneous Anterograde and Retrograde Endourological Access. Single Centre Experience". Acta Scientific Medical Sciences 4.3 (2020): 01-04.
Copyright: © 2020 Sharma Vikas., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.