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Int. braz. j. urol ; 42(5): 967-972, Sept.-Oct. 2016. tab
Article Dans Anglais | LILACS | ID: lil-796892

Résumé

ABSTRACT Background: We analyzed the outcome and complications of rigid (R-URS) and flexible (F-URS) ureteroscopic lithotripsy for treatment of proximal ureteric stone (PUS). Subjects and methods: Retrospective data of 135 patients (93 males and 42 females) submitted to R-URS and F-URS for treatment of PUS in the period between July 2013 and January 2015 were investigated. (R-URS, group 1) was performed in 72 patients while 63 patients underwent (F-URS, group 2).We compared the 2 groups for success, stone characteristics, operative time, intraoperative and postoperative complications. Results: The overall stone free rate (SFRs) was 49/72 (68%) in group 1 and 57/63 (91%) patients in group 2, (P=0.005). The operative time was shorter in group 1 in comparison to group 2 with statistically significant difference (P=0.005). There was not any statistically significant difference between 2 groups in complication rate (P=0.2). Conclusıon: Both R-URS and F-URS could be a feasible option for treatment of PUS. R-URS is less successful for treatment of PUS and should be used cautiously and with availability of F-URS.


Sujets)
Humains , Mâle , Femelle , Adulte , Lithotritie/méthodes , Calculs urétéraux/thérapie , Urétéroscopie/méthodes , Complications postopératoires , Lithotritie/effets indésirables , Lithotritie/instrumentation , Études rétrospectives , Résultat thérapeutique , Urétéroscopie/effets indésirables , Urétéroscopie/instrumentation , Survie sans rechute , Durée opératoire , Complications peropératoires , Durée du séjour , Adulte d'âge moyen
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