Dormia basketing is used for removal of renal calculi in the –
The core concept here is understanding the indications and application of Dormia basketing. The key is knowing the specific part of the urinary system where this technique is applied. Dormia basketing is typically used in the upper urinary tract, but I need to be precise. The renal pelvis, ureter, or bladder? Wait, the question mentions renal calculi, so it's about kidney stones. But where exactly during their passage?
Now, the correct answer is likely the ureter. Because when stones pass from the kidney into the ureter, they can be retrieved using a Dormia basket during ureteroscopy. The renal pelvis is part of the kidney, and while stones form there, the basketing is more about stones that have moved into the ureter. The bladder is part of the lower urinary tract, so that's not it. The renal calyces are part of the kidney's collecting system, but again, the basket is used in the ureter.
So the options might be: A. Renal pelvis, B. Ureter, C. Bladder, D. Renal calyx. The correct answer would be B. Ureter.
Let me verify. Dormia basketing is indeed used during ureteroscopy to remove stones from the ureter or upper ureter. The basket is introduced through the urethra and bladder into the ureter to grasp the stone. So the answer is B. Ureter. The other options are incorrect because the renal pelvis is part of the kidney, bladder is lower tract, and renal calyx is part of the kidney's internal structure. Therefore, the correct answer is B.
**Core Concept**
Dormia basketing is a urological technique used to remove stones from the **ureter** during ureteroscopy. It involves a flexible, basket-like device that grasps calculi after direct visualization via endoscopy. This method is indicated for stones that have migrated from the kidney into the ureter but remain impacted or symptomatic.
**Why the Correct Answer is Right**
The ureter is the most common site for Dormia basketing because stones often lodge here during their passage from the kidney to the bladder. The procedure requires accessing the ureter via the bladder (transurethral approach) using a ureteroscope. The basket is then deployed to fragment or retrieve the stone, leveraging its flexibility to navigate the ureteral anatomy. This approach is preferred over surgical intervention for smaller, non-obstructive ureteral calculi.
**Why Each Wrong Option is Incorrect**
**Option A: Renal pelvis** β Stones in the renal pelvis are typically managed with percutaneous nephrolithotomy (PCNL) or extracorporeal shock wave lithotripsy (ESWL), not Dormia basketing.
**Option C: Bladder** β Bladder stones are removed via cystolitholapaxy, not Dormia basketing, which requires access through the urethra.
**Option D: Renal calyx**