Nevzat Can ŞENER, Sebahattin ALBAYRAK, Mesut GÜRDAL, Kürşad ZENGİN, Serhat TANIK

The Feasibility of Semi-rigid Ureterorenoscopy in Small Sized Renal Pelvic Stones

Introduction: In this retrospective study, we aimed to present the comparison of small-sized renal pelvis stones of patients whom were treated by either semi rigid ureteroscope (S-URS) or ESWL. Materials and Methods: Between March 2011 and 2013, 24 patients were treated with S-URS for renal pelvic stones. 33 patients treated by ESWL with similar parameters were included in the study as the control group. Results: The mean age and size of stones were similar in both groups. The success rates were 91.7% in Group 1, and 93.9% in Group 2 (p=0.224). The hematuria rates in the postoperative first day were 75% in Group 1, and 3% in Group 2 (p=0.01). Conclusion: While the success rates were similar for both groups, the hematuria rate was higher in S-URS group.

PDF

___

1. Miller NL, Lingeman JE. Management of kidney stones. BMJ. 2007; 334(7591): 468-72.
2. Elashry OM, Elgamasy AK, Sabaa MA, Abo-Elenien M, Omar MA, Eltatawy H, et al. Ureteroscopic management of lower ureteric calculi: a 15-year single-centre experience. Bju Int. 2008;102(8):10107.
3. Fuganti PE, Pires S, Branco R, Porto J. Predictive factors for intraoperative complications in semirigid ureteros- copy: analysis of 1235 ballistic ureterolithotripsies. Urology 2008;72(4):7704.
4. Sun X, Xia S, Lu J, Liu H, Han B, Li W. Treatment of large im- pacted proximal ureteral stones: randomized comparison of percutaneous antegrade ureterolithotripsy versus retrograde ureterolithotripsy. J Endourol. 2008; 22(5): 9137.
5. Takazawa R, Kitayama S, Kobayashi S, Araki S, Waseda Y, Hyochi N, et al. Transurethral lithotripsy with rigid and flexib- le ureteroscopy for renal and ureteral stones: results of the first 100 procedures. Hinyokika Kiyo. 2011; 57(8): 4116.
6. El-Anany FG, Hammouda HM, Maghraby HA, Elakkad MA. Retrograde ureteropyeloscopic holmium laser lithotripsy for large renal calculi. Bju Int. 2001; 88(9): 8503.
7. Lesani OA, Palmer JS. Retrograde proximal rigid ureteros- copy and pyeloscopy in prepubertal children: safe and effec- tive. J Urol. 2006; 176(4): 15703.
8. Argyropoulos AN, Tolley DA. Evaluation of outcome follo- wing lithotripsy. Curr Opin Urol. 2010; 20(2): 1548.
9. Carpentier X, Meria P, Bensalah K, Chabannes E, Estrade V, Denis E, et al. Update for the management of kidney stones in 2013. Stone group comity of the French Association of Uro- logy. Prog Urol. 2014; 24(5): 319-26.
10. Tan YM, Yip SK, Chong TW, Wong MYC, Cheng C, Foo KT. Clinical experience and results of ESWL treatment for 3,093 urinary calculi with the Storz Modulith SL 20 lithotripter at the Singapore general hospital. Scand. J Urol Nephrol. 2002; 36(5): 3637.
11. Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M, et al. EAU/AUA nephrolithiasis guideline panel. 2007 guideline for the management of ureteral calculi. J Urol. 2007; 178(6): 2418-34.
12. Tiselius H-G. How efficient is extracorporeal shockwave lithotripsy with modern lithotripters for removal of ureteral stones? J Endourol. 2008; 22(2): 24955.
13. Skolarikos A, Alivizatos G, De La Rosette JJMCH. Percuta- neous nephrolithotomy and its legacy. Eur Urol. 2005; 47(1): 228.