First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient

Managing urinary tract stones in patients on anticoagulant therapy is challenging due to increased bleeding risks. Flexible ureteroscopy (FURS) offers a low-bleeding-risk alternative. A 75-year-old female on Edoxaban for atrial fibrillation presented with recurrent hematuria and a right renal lower...

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Main Authors: Xiang Xu, Feihong Xu, Kaifeng Mao, Weiyong Zhong, Mi Zhang, Wenyan Huang, Xiaobao Cheng, Zhenquan Lu, Genggeng Wei
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025000865
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author Xiang Xu
Feihong Xu
Kaifeng Mao
Weiyong Zhong
Mi Zhang
Wenyan Huang
Xiaobao Cheng
Zhenquan Lu
Genggeng Wei
author_facet Xiang Xu
Feihong Xu
Kaifeng Mao
Weiyong Zhong
Mi Zhang
Wenyan Huang
Xiaobao Cheng
Zhenquan Lu
Genggeng Wei
author_sort Xiang Xu
collection DOAJ
description Managing urinary tract stones in patients on anticoagulant therapy is challenging due to increased bleeding risks. Flexible ureteroscopy (FURS) offers a low-bleeding-risk alternative. A 75-year-old female on Edoxaban for atrial fibrillation presented with recurrent hematuria and a right renal lower calyx stone. FURS using a 6.3 Fr disposable ureteroscope and 10/12 Fr suctioning ureteral access sheath successfully cleared the stone with no complications. The 6.3 Fr disposable digital flexible ureteroscope is effective for managing renal stones in anticoagulant patients, reducing bleeding risks, ureteral injury, and infection. Further research is needed for broader patient applications.
format Article
id doaj-art-93a781dc04a64ae1a40a3c706ea39d6d
institution DOAJ
issn 2214-4420
language English
publishDate 2025-05-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj-art-93a781dc04a64ae1a40a3c706ea39d6d2025-08-20T03:14:17ZengElsevierUrology Case Reports2214-44202025-05-016010301510.1016/j.eucr.2025.103015First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patientXiang Xu0Feihong Xu1Kaifeng Mao2Weiyong Zhong3Mi Zhang4Wenyan Huang5Xiaobao Cheng6Zhenquan Lu7Genggeng Wei8Department of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaDepartment of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaCorresponding author. Department of Urology, The University of Hong Kong-Shenzhen Hospital, Haiyuan First Road, Futian District, Shenzhen, 518053, Guangdong, China.; Department of Urology, The University of Hong Kong–Shenzhen Hospital, Shenzhen, ChinaManaging urinary tract stones in patients on anticoagulant therapy is challenging due to increased bleeding risks. Flexible ureteroscopy (FURS) offers a low-bleeding-risk alternative. A 75-year-old female on Edoxaban for atrial fibrillation presented with recurrent hematuria and a right renal lower calyx stone. FURS using a 6.3 Fr disposable ureteroscope and 10/12 Fr suctioning ureteral access sheath successfully cleared the stone with no complications. The 6.3 Fr disposable digital flexible ureteroscope is effective for managing renal stones in anticoagulant patients, reducing bleeding risks, ureteral injury, and infection. Further research is needed for broader patient applications.http://www.sciencedirect.com/science/article/pii/S22144420250008656.3 Fr flexible ureteroscopeAnticoagulation therapyRenal lower calyx stoneStone-free rateTFS-UASLow-bleeding-risk surgery
spellingShingle Xiang Xu
Feihong Xu
Kaifeng Mao
Weiyong Zhong
Mi Zhang
Wenyan Huang
Xiaobao Cheng
Zhenquan Lu
Genggeng Wei
First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
Urology Case Reports
6.3 Fr flexible ureteroscope
Anticoagulation therapy
Renal lower calyx stone
Stone-free rate
TFS-UAS
Low-bleeding-risk surgery
title First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
title_full First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
title_fullStr First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
title_full_unstemmed First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
title_short First clinical application of the novel 6.3 Fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
title_sort first clinical application of the novel 6 3 fr disposable digital flexible ureteroscope for treatment of lower calyx renal stones in anticoagulated patient
topic 6.3 Fr flexible ureteroscope
Anticoagulation therapy
Renal lower calyx stone
Stone-free rate
TFS-UAS
Low-bleeding-risk surgery
url http://www.sciencedirect.com/science/article/pii/S2214442025000865
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