Single-session ureteroscopic pneumatic lithotripsy for the management of bilateral ureteric stones
Int. braz. j. urol
;
38(1): 63-68, Jan.-Feb. 2012. tab
Article
in English
| LILACS
| ID: lil-623316
ABSTRACT
PURPOSE:
In nowadays there is no consensus on single-session ureteroscopic lithotripsy (URSL) for the management of bilateral ureteric stones. The aim of this study was to evaluate efficacy and safety of single-session URSL in patients with bilateral ureteric stones. MATERIALS ANDMETHODS:
41 patients who have undergone bilateral single-session URSL were evaluted in this study. A 8/9.8 Fr Wolf semi-rigid ureteroscope was used for the procedures, and the stones were fragmented with pneumatic lithotripter.RESULTS:
A high stone-free rate was achieved (90.2%) after single endoscopic procedure with a retreatment rate of 9.8%. The procedure was most successful for distal ureteric stones with a 96.2% stone-free rate followed by middle ureteric stones with a 81.8% stone-free rate while the least success was achieved for proximal ureteric stones with a 77.7% stone-free rate (p < 0.05). A greater stone-free rate was obtained in those with stones less than 10 mm (93.7%) than in those with stones larger than 10 mm (77.7%) (p < 0.05). Ureteral perforation occurred in only one patient (2.4 %). No long-term complication was observed in any patient.CONCLUSIONS:
Bilateral single-session URSL can be performed effectively and safely with a low complication rate in patients with bilateral ureteric stones. It can reduce the need of anaesthetics and hospital stay.
Full text:
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Index:
LILACS (Americas)
Main subject:
Postoperative Complications
/
Ureter
/
Lithotripsy
/
Ureteral Calculi
/
Ureteroscopy
Type of study:
Evaluation studies
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2012
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Diyarbakır Education and Research Hospital/TR
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