A 46-year-old patient with a history of recurrent urinary tract infections and pyelonephritis presented with medullary sponge kidney disease. Dr. Miller summarizes the complexities of the case and discusses why a staged ureteroscopy was her preferred operative technique. She discusses the benefits of using a ureteral access sheath to atraumatically access the kidney repeatedly, why using an access sheath was invaluable to this particular case, and her general selection process when choosing a ureteral access sheath.
Nicole Miller, MD, FACS, Professor, Department of Urologic Surgery
Vanderbilt University Medical Center, USA
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