Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report

Manapol Rujithamkul; Kun Sirisopana; Surawach Piyawannarat; Yada Phengsalae; Premsant Sangkum; Wisoot Kongchareonsombat; Chinnakhet Ketsuwan

doi:10.1016/j.eucr.2025.103190

Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report

Manapol Rujithamkul
, Kun Sirisopana
, Surawach Piyawannarat
, Yada Phengsalae
, Premsant Sangkum
, Wisoot Kongchareonsombat
, Chinnakhet Ketsuwan

Department of Surgery

Faculty of Medicine Ramathibodi Hospital, Mahidol University

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.

Original language	English
Article number	103190
Journal	Urology Case Reports
Volume	63
DOIs	https://doi.org/10.1016/j.eucr.2025.103190
Publication status	Published - Nov 2025

Keywords

Mini-ECIRS
Thulium fiber laser
Ureteropelvic junction obstruction

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10.1016/j.eucr.2025.103190

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title = "Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report",

abstract = "Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.",

keywords = "Mini-ECIRS, Thulium fiber laser, Ureteropelvic junction obstruction",

author = "Manapol Rujithamkul and Kun Sirisopana and Surawach Piyawannarat and Yada Phengsalae and Premsant Sangkum and Wisoot Kongchareonsombat and Chinnakhet Ketsuwan",

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year = "2025",

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doi = "10.1016/j.eucr.2025.103190",

language = "English",

volume = "63",

journal = "Urology Case Reports",

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T1 - Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus

T2 - A case report

AU - Rujithamkul, Manapol

AU - Sirisopana, Kun

AU - Piyawannarat, Surawach

AU - Phengsalae, Yada

AU - Sangkum, Premsant

AU - Kongchareonsombat, Wisoot

AU - Ketsuwan, Chinnakhet

PY - 2025/11

Y1 - 2025/11

N2 - Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.

AB - Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.

KW - Mini-ECIRS

KW - Thulium fiber laser

KW - Ureteropelvic junction obstruction

UR - https://www.scopus.com/pages/publications/105014540743

U2 - 10.1016/j.eucr.2025.103190

DO - 10.1016/j.eucr.2025.103190

M3 - Article

AN - SCOPUS:105014540743

SN - 2214-4420

VL - 63

JO - Urology Case Reports

JF - Urology Case Reports

M1 - 103190

ER -

Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report

Abstract

Keywords

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