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BRIEF RESEARCH REPORT article

Front. Surg.

Sec. Genitourinary Surgery and Interventions

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1562484

This article is part of the Research Topic Prevention and Treatment of Urolithiasis: Innovation and Novel Techniques View all 6 articles

Retrograde Intrarenal Surgery in the Prone Split-Leg Position for Female Upper Urinary Tract Stones: A Preliminary Study of 16 Cases

Provisionally accepted
yu cao yu cao *Mingshi Li Mingshi Li Wanbin Cao Wanbin Cao Li Tang  Li Li Tang Li Shenglan Chen Shenglan Shenglan Chen Shenglan
  • Guangji Hospital, Zhongshan, China

The final, formatted version of the article will be published soon.

    Objectives: This study aims to preliminarily investigate the potential technical advantages of the prone split-leg position for treating upper urinary tract stones and evaluate its efficacy using computed tomography (CT).Materials and methods: :A retrospective analysis was conducted on the clinical data of 16 female patients who underwent retrograde intrarenal surgery (fURS) for upper urinary tract stones in the prone split-leg position at our hospital between July and September 2024. All patients were treated using flexible ureteroscopes and received CT scans before and after the operation to assess surgical outcomes.Results: All surgeries were successfully performed in the prone split-leg position, with an average operation time of 62.25 ± 25.92 minutes. The immediate stone clearance rate was 100%, and no complications were observed.Conclusion: Retrograde intrarenal surgery in the prone split-leg position is an effective treatment for upper urinary tract stones in female patients. This position facilitates ureteroscopic access to the renal pelvis and the insertion of ureteral guide sheaths, improves the immediate stone clearance rate, reduces intrarenal pressure, and represents an efficient, economical, and safe treatment method.

    Keywords: female, Prone split-leg position, Retrograde intrarenal surgery, Upper urinary tract stones, Flexible ureteroscopy

    Received: 17 Jan 2025; Accepted: 31 Mar 2025.

    Copyright: © 2025 cao, Li, Cao, Tang Li and Chen Shenglan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: yu cao, Guangji Hospital, Zhongshan, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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