Endoscopic Management of Ureteric Stenosis and Calculi in Bilateral Incomplete Renal Duplication: A Case Study

Hafeez Sohaib Ahmad Warraich, Urology & Renal Transplantation, Allied Hospital Faisalabad affiliated with Faisalabad Medical University, Faisalabad, Pakistan.Follow
Zirwa Younis, Obstetrics & Gynecology, Allied Hospital Faisalabad affiliated with Faisalabad Medical University, Faisalabad, Pakistan
Jawairia Warraich, Diagnostic Radiology, Allied Hospital Faisalabad affiliated with Faisalabad Medical University, Faisalabad, Pakistan
Khizra Warraich, Internal Medicine, Madinah Teaching Hospital, Faisalabad affiliated with University Medical and Dental College, Faisalabad, Pakistan.

Abstract

Renal duplication anomalies are one of the most frequent congenital urological conditions in the general population all over the world. Bilateral incomplete duplication, however, is exceedingly rare. We present a case of a 29-year-old female with bilateral incomplete duplex kidneys complicated by mid-ureteric stenosis on the right side and calculi in the left ureter and upper moiety of the left duplex kidney. Diagnostic imaging, including ultrasound, computed tomography (CT), and intravenous urography (IVU) confirmed these findings. The patient underwent successful bilateral ureteroscopy (URS) and left-sided retrograde intra-renal surgery (RIRS) for management of the above mentioned complications related to the duplex kidneys in this patient. Postoperative recovery was uneventful, and a further right-sided percutaneous nephrolithotomy (PCNL) was planned. This case underscores the importance of comprehensive diagnostic evaluation and individualized therapeutic strategies in managing complex urological anomalies.

Recommended Citation

Warraich, Hafeez Sohaib Ahmad; Younis, Zirwa; Warraich, Jawairia; and Warraich, Khizra (2025) "Endoscopic Management of Ureteric Stenosis and Calculi in Bilateral Incomplete Renal Duplication: A Case Study," BioMedicine: Vol. 15 : Iss. 3 , Article 5.
DOI: 10.37796/2211-8039.1662