Serdar YALÇIN, Nejdet KARŞIYAKALI, Engin KAYA, Sercan YILMAZ, EYMEN GAZEL, Sanan ASGARLI, Mesut GÜRDAL, SELAHATTİN BEDİR

Alt Pol Böbrek Taşlarının Tedavisinde Şok Dalga Litotripsi ve Retrograd İntrarenal Cerrahi Etkinliğinin Karşılaştırılması: Tek Merkez, Vaka Kontrol Çalışması

Amaç: Alt pol böbrek taşlarında şok dalga litotripsi (SWL) ve retrograd intrarenal cerrahi (RİRC) etkinliğinin karşılaştırılması. Materyal ve Metod: Ocak 2018 – Ağustos 2019 tarihleri arasında alt pol böbrek taşı nedeniyle SWL ya da RİRC tedavisi uygulanan 134 hastanın verileri retrospektif olarak incelendi. Gruplar demografik özellikler, taş özellikleri ve taşsızlık oranları açısından istatistiksel olarak karşılaştırıldı. Bulgular: Toplamda 92 (%68,7)’si erkek, 42 (%31,3)’si kadın olmak üzere 134 hasta çalışmaya dahil edildi. Hastaların 59 (%44,0)’unun taşı sağ böbrekte, 75 (%56,0)’inin taşı sol böbrekte idi. Tüm hastaların yaş ortalaması 47±16, taş yükü 94,7±62,0 mm2 ve Hounsfield Ünitesi (HU) 819,5±256,2 olarak hesap edildi. SWL grubunda 73 (%54,5), RİRC grubunda ise 61 (%45,5) hasta vardı. Taşsızlık oranları SWL ve RİRC grupları için sırasıyla %52,1 ve %72,1 olarak hesaplandı. RİRC grubunda, SWL grubuna göre taş yükü daha fazla olmasına karşın taşsızlık oranının daha yüksek oranda olduğu gözlendi (sırasıyla, p=0,004 ve p=0,018). Sonuç: SWL ile karşılaştırıldığında RİRC ile taş yükünün fazla olduğu olgularda daha az seans sayısı ile daha yüksek taşsızlık oranı elde edilebilir.Bu makale Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Anahtar Kelimeler:

Böbrek taşı, Retrograd intrarenal cerrahi, Şok dalga litotripsi, Taşsızlık

Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study

Objective: In this study we aimed to evaluate the effectiveness of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRC) in treatment of lower pole kidney stones.Material and Methods: The data of 134 patients who underwent SWL or RIRC treatment for lower pole kidney stone between January 2018 and August 2019 were retrospectively reviewed. The groups were compared statistically in terms of demographic characteristics, stone characteristics and stone-free rates.Results: Ninety-two (68.7%) male and 42 (31.3%) female patients were included in the study. Fifty-nine (44.0%) patients had stone in the right kidney and 75 (56.0%) had stone in the left kidney. The mean age of all patients was 47 ± 16 years, stone burden was 94.7 ± 62.0 mm2 and Hounsfield Unit was calculated as 819.5 ± 256.2. There were 73 (54.5%) patients in the SWL group and 61 (45.5%) patients in the RIRC group. Stone-free rates were calculated as 52.1% and 72.1% for SWL and RIRC groups, respectively. Although stone burden was higher in RIRC group than SWL group, stone-free rate was higher (p=0.004 and p=0.018, respectively).Conclusion: When compared with SWL, higher stone-free rates can be achieved with RIRC with lower number of sessions even in cases with higher stone burden.All published content in The New Journal of Urology are licensed under Creative Commons Attribution 4.0 International License.

Keywords:

Kidney stone, intrarenal surgery, Shock wave lithotripsy, Stone-free,

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