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a57 year old male complaining of chronic left flank pain which has aggravated recenly presented to emergency      5/19/2012

a57 year old male complaining of chronic left flank pain which has aggravated recenly presented to emergency department and underwent left ureteroscopy and DJ placement due to severe left ureteral stricture  beneath the stone . patient had underwent an unsuccessful SWL precedure and was reffered to our clinic for management of concomittant ureteral and kidney stone.


patient underwent left side TUL and stone removal in lithotomy position ,stricture resolusion was confirmed during ureteroscopy therefore after repositioning to prone , left side PCNL was carried out by Hamidi and Mokhtarpour

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