School of Medicine Publications
Document Type
Article
Publication Date
9-3-2026
Abstract
Retained encrusted ureteral stents represent a complex urologic problem, particularly in patients with limited healthcare access. We present a 28-year-old undocumented female with a 10-month retained ureteral stent who developed massive right-sided encrustation, including a 3 cm proximal renal stone near the renal pelvis and a 5-6 cm bladder stone, classified as FECal Grade IV-V. A single-session combined approach consisting of robot-assisted cystolithotomy, intraoperative ureteroscopy with stent exchange, and robot-assisted pyelolithotomy was performed successfully. Intraoperative ureteroscopy between operative phases confirmed ureteral clearance and enabled immediate stent placement without repositioning delay. This case supports the use of combined robotic approaches for high-grade disease and illustrates how structural barriers drive late presentation and increased surgical complexity.
Recommended Citation
Alvarez, M., Freedman, C., Romero, E., Kim, P., Garza, A., & Zaid, H. (2026). Single-session robot-assisted removal of a retained ureteral stent with complex proximal and distal encrustation: A case report. Therapeutic advances in urology, 18, 17562872261485779. https://doi.org/10.1177/17562872261485779
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publication Title
Therapeutic Advances in Urology
DOI
10.1177/17562872261485779
Academic Level
medical student
Comments
© The Author(s) 2026
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