TY  - JOUR
TT  - Ureteroscopic Management of Renal Pelvic Stones Less Than 30 mm
AU  - Şahinkanat, Tayfun
AU  - Ekerbiçer, Hasan Çetin
PY  - 2017
DA  - April
Y2  - 2016
DO  - 10.17517/ksutfd.302093
JF  - Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi
JO  - KSU Medical Journal
PB  - Kahramanmaras Sutcu Imam University
WT  - DergiPark
SN  - 1303-6610
SP  - 11
EP  - 16
VL  - 12
IS  - 1
KW  - Semirigid üreterorenoskopi
KW  - renal pelvis taşı
N2  - Objective: The aim of this study was to assess theour outcomes of semirigid ureterorenoscopy for management of renal pelvic stonesand determine complications according to the modify Clavien classificationretrospectively and discuss with literature.Material and Methods: Medicalrecords of 23 patients who underwent semirigid ureteroscopy due to renal pelvicstones sized < 30 mm between 2014 and 2015 were retrospectively evaluated.Patients wereinvestigated with regard to age, gender, stone size, history of previousshockwave lithotripsy and ureteral catheterization, stone clearance andcomplications. Holmium-Yag laser and/or pneumatic lithotripsy was used forlithotripsy. Patients assessed using non-contrast computed tomography at onemonth, postoperatively. Clinical success was defined as stone-free status orasymptomatic insignificant residual fragments (<4 mm). Complications wereclassified according to the modified Clavien classification.Results: Study population consisted of 11 femaleand 12 male patients with a mean±SD age of 39.78 ± 19.48 years (3-76 years).The mean±SD stone size was 19.6 ± 5.76 mm (7-30 mm). The mean stone-free ratewas 78.3% after initial semirigid ureterorenoscopic lithotripsy. Success ratesdid not differ significantly with respect to stone size, gender and grade ofhydronephrosis (p>0.05). Minor complications as classified by Clavien 1(n:1) or 2 (n:2) occured in 3 (13%) patients. Grade 3, 4,5 complications werenot determined in any patient.Conclusion: Semirigid ureterorenoscopic lithotripsyis an effective and safe procedure in the treatment of < 30 mm renal pelvicstones. Prospective randomizedcontrolled trials are needed to confirm these findings.
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UR  - https://doi.org/10.17517/ksutfd.302093
L1  - https://dergipark.org.tr/en/download/article-file/322275
ER  -