After successful general anesthesia, the patient was placed in lithotomy position.
Skin was prepped and draped in sterile fashion,Cystoscopy and ureteric catheterization was performad.
18 Fr Foley catheter was indwelled.
The patient was placed in prone position then skin was prepped and draped on sterile fashion.
Renal access was done using contrast media and fluoroscopic guided at upper calyx, supracostal approach.
The tract was dilated with fascial dilators from no. 6 to 12 Fr. then double lumen catheter was inserted over the wire and another stiff wire was out into the uteter.
Balloon dilator was applied over the stiff wire and it was inflated using water at pressure of 10 ATM.
Amplatz sheath no.3 was inserted and nephroscope was applied.
Lithotripsy was performed uaing ultrasonic lithotryptor.
6 Fr JJ stent was inserted with antegrade technique and ureteric catheter was removed.
without nephrostomy tube,skin was sutured with nylon 3-0.
The patient was placed in supine and extubated then transferred ro recovery room without complication.