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

RESUMO

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.


Assuntos
Humanos , Masculino , Feminino , Adulto , Litotripsia/métodos , Cálculos Ureterais/terapia , Ureteroscopia/métodos , Complicações Pós-Operatórias , Litotripsia/efeitos adversos , Litotripsia/instrumentação , Estudos Retrospectivos , Resultado do Tratamento , Ureteroscopia/efeitos adversos , Ureteroscopia/instrumentação , Intervalo Livre de Doença , Duração da Cirurgia , Complicações Intraoperatórias , Tempo de Internação , Pessoa de Meia-Idade
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