Dr. Thomas and Mr. Bultitude describe their approach to caring for patients with cystinuria. They discuss caring for these patients holistically, which includes not only surgical aspects but also monitoring and treating the patient’s lifelong stone disease. Pathology, diagnosis and principals of surgical approach to cystinuria stone formers are discussed. The physicians also present a complex cystine stone case in a 25-year-old patient that involves both percutaneous ultrasonic and ureteroscopic laser lithotripsy with retrieval approaches.
Kay Thomas, MBBS, MD, FRCS (Urol), Matthew Bultitude, MBBS, MSc, FRCS (Urol)
Urology Department, Guy’s and St. Thomas’ Hospital, United Kingdom
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