Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm
Purpose. To evaluate the safety and efficacy of RIRS for the treatment of multiple unilateral intrarenal stones smaller than 20 mm. Methods. Between March 2007 and April 2013, patients with multiple intrarenal stones smaller than 20 mm were treated with RIRS and evaluated retrospectively. Each patie...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/314954 |
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| author | Erdal Alkan Oguz Ozkanli Egemen Avci Mirac Turan M. Murad Başar Oguz Acar M. Derya Balbay |
| author_facet | Erdal Alkan Oguz Ozkanli Egemen Avci Mirac Turan M. Murad Başar Oguz Acar M. Derya Balbay |
| author_sort | Erdal Alkan |
| collection | DOAJ |
| description | Purpose. To evaluate the safety and efficacy of RIRS for the treatment of multiple unilateral intrarenal stones smaller than 20 mm. Methods. Between March 2007 and April 2013, patients with multiple intrarenal stones smaller than 20 mm were treated with RIRS and evaluated retrospectively. Each patient was evaluated for stone number, stone burden (cumulative stone length), operative time, SFRs, and complications. Results. 173 intrarenal stones in 48 patients were included. Mean age, mean number of stones per patient, mean stone burden, and mean operative time were 40.2±10.9 years (23–63), 3.6±3.0 (2–18), 22.2±8.4 mm (12–45), and 60.3±22.0 minutes (30–130), respectively. The overall SFR was 91.7%. SFRs for patients with a stone burden less and greater than 20 mm were 100% (23/23) and 84% (21/25), respectively (χ2=26.022, P<0.001). Complications occurred in six (12.5%–6/48) patients, including urinary tract infection or high-grade fever >38.5°C in three cases, prolonged hematuria in two cases, and ureteral perforation in one case, all of whom were treated conservatively. No major complications occurred. Conclusions. RIRS is an effective treatment option in patients with multiple unilateral intrarenal stones especially when the total stone burden is less than 20 mm. |
| format | Article |
| id | doaj-art-16d5c82a021541c88283b92c1760a314 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-16d5c82a021541c88283b92c1760a3142025-02-03T05:46:04ZengWileyAdvances in Urology1687-63691687-63772014-01-01201410.1155/2014/314954314954Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cmErdal Alkan0Oguz Ozkanli1Egemen Avci2Mirac Turan3M. Murad Başar4Oguz Acar5M. Derya Balbay6Department of Urology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyDepartment of Anesthesiology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyDepartment of Urology, Memorial Atasehir Hospital, Atasehir, 34758 Istanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Okmeydanı, Şişli, 34385 Istanbul, TurkeyPurpose. To evaluate the safety and efficacy of RIRS for the treatment of multiple unilateral intrarenal stones smaller than 20 mm. Methods. Between March 2007 and April 2013, patients with multiple intrarenal stones smaller than 20 mm were treated with RIRS and evaluated retrospectively. Each patient was evaluated for stone number, stone burden (cumulative stone length), operative time, SFRs, and complications. Results. 173 intrarenal stones in 48 patients were included. Mean age, mean number of stones per patient, mean stone burden, and mean operative time were 40.2±10.9 years (23–63), 3.6±3.0 (2–18), 22.2±8.4 mm (12–45), and 60.3±22.0 minutes (30–130), respectively. The overall SFR was 91.7%. SFRs for patients with a stone burden less and greater than 20 mm were 100% (23/23) and 84% (21/25), respectively (χ2=26.022, P<0.001). Complications occurred in six (12.5%–6/48) patients, including urinary tract infection or high-grade fever >38.5°C in three cases, prolonged hematuria in two cases, and ureteral perforation in one case, all of whom were treated conservatively. No major complications occurred. Conclusions. RIRS is an effective treatment option in patients with multiple unilateral intrarenal stones especially when the total stone burden is less than 20 mm.http://dx.doi.org/10.1155/2014/314954 |
| spellingShingle | Erdal Alkan Oguz Ozkanli Egemen Avci Mirac Turan M. Murad Başar Oguz Acar M. Derya Balbay Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm Advances in Urology |
| title | Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm |
| title_full | Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm |
| title_fullStr | Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm |
| title_full_unstemmed | Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm |
| title_short | Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm |
| title_sort | effectiveness of flexible ureterorenoscopy and laser lithotripsy for multiple unilateral intrarenal stones smaller than 2 cm |
| url | http://dx.doi.org/10.1155/2014/314954 |
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