# Percutaneous nephrolithotomy for renal stones combined with laser endoscopy for ipsilateral renal cysts: a case report and literature review

## TL;DR

A patient with kidney stones and cysts underwent a combined procedure to treat both issues in one surgery, reducing the need for multiple operations.

## Contribution

This case demonstrates a combined approach using percutaneous nephrolithotomy and laser endoscopy to treat both renal stones and cysts in a single procedure.

## Key findings

- The patient experienced pain relief and successful treatment of both kidney stones and cysts with a single combined procedure.
- The approach reduced the need for multiple surgeries, potentially lowering costs and recovery time.
- The procedure was safely performed and resulted in a quick recovery and discharge.

## Abstract

Renal cysts and renal stones are common diseases in urology, but it is less common for both to coexist in a patient's kidney. In some unsophisticated urology clinics, separate elective treatments for renal cysts and renal stones are usually chosen, reducing the surgery risk but increasing the financial burden for patients. In this paper, we report a case of percutaneous nephrolithotomy for managing renal stones and endoscopy of renal cysts. The patient was a 61-year-old woman with back pain for more than 10 days. She was preoperatively diagnosed with left kidney stones and bilateral renal cysts. The patient underwent percutaneous nephrolithotomy with laser lithotripsy for left kidney stones and end cystectomy for left kidney cysts, with an indwelling ureteral stent and nephrostomy tube. The patient's back pain subsided postoperatively, and he was discharged on the 5th postoperative day. The nephrostomy tube was removed 1 week after surgery, and the ureteral stent was removed 1 month after surgery. The purpose of this case is to demonstrate to surgeons the advantages of percutaneous nephrolithotomy laser lithotripsy for treating renal stones combined with intrarenal cysts. Suppose a kidney stone is adjacent to a renal cyst, for example. In that case, if the stone is located adjacent to the renal pelvis or near the calyx in which the stone is located, percutaneous nephrolithotomy laser lithotripsy can treat both conditions.