Clinical case demonstrates high efficacy of RIRS with ureteral access sheath and thulium fiber laser, suggesting safety for anticoagulated patients.
Percutaneous nephrolithotomy is one of the modern methods for treating kidney stones larger 2 cm. When anticoagulation therapy cannot be stopped, retrograde intrarenal surgery (RIRS) is recommended. We report a case of RIRS using flexible and navigable suction ureteral access sheath (FANS-UAS) and Thulium fiber laser (TFL) in a patient with multiple large kidney stones who could not be stopped on anticoagulant therapy. The surgery was successful and without complications. RIRS using FANS-UAS and TFL in this group of patients has high efficacy and safety.
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