Year 2021, Volume 7 , Issue 1, Pages 22 - 28 2021-01-04

A modified basket catheter technique with semi-rigid ureterorenoscopy in the prevention of migration of proximal ureteral stones

Abdullah ERDOĞAN [1] , Ercüment KESKİN [2]


Objectives: Although proximal ureteral stones are common, some difficulties are encountered in semi-rigid ureterorenoscopy (URS) treatment, especially as a result of stone migration to the kidney. In this paper, we present a different use of a basket catheter for the treatment of proximal ureteral stones.

Methods: Between September 2016 and January 2019, 101 patients over 18 years of age detected to have a maximum 15-mm proximal ureteral stone were retrospectively evaluated, and 93 patients fulfilling the criteria were included in the study. Semi-rigid URS and a modified basket catheter were used together in 44 patients while no auxiliary equipment was utilized for the remaining 49 patients. In the study group, a 3F zero-tip basket catheter was disintegrated and positioned in a way to capture and retrieve the stone from the semi-rigid ureterorenoscope.

Results: No difference was found between the two groups in terms of age, body mass index, gender, and stone characteristics. The duration of operation was shorter in the basket catheter group (p < 0.001). The rates of stone migration, requirement to switch to flexible ureterorenoscopy (FURS), and double J-stent (JJ-stent) placement were significantly higher in the control group (p < 0.005). There were no significant differences between the two groups concerning operation success and complications (p = 0.068 and p = 0.772, respectively).

Conclusions: The modified basket catheter technique with semi-rigid URS was successful in preventing the migration of proximal ureteral stones. This method can be considered as an alternative in cases where FURS is not available. 

Basket catheter technique, proximal ureteral stones, semi-rigid ureterorenoscopy
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Primary Language en
Subjects Urology ve Nephrology
Journal Section Original Articles
Authors

Orcid: 0000-0001-6187-2106
Author: Abdullah ERDOĞAN (Primary Author)
Institution: Department of Urology, Erzincan Binali Yıldırım University School of Medicine, Erzincan, Turkey
Country: Turkey


Orcid: 0000-0001-9618-8252
Author: Ercüment KESKİN
Institution: Department of Urology, Erzincan Binali Yıldırım University School of Medicine, Erzincan, Turkey
Country: Turkey


Dates

Application Date : November 5, 2019
Acceptance Date : March 25, 2020
Publication Date : January 4, 2021

EndNote %0 The European Research Journal A modified basket catheter technique with semi-rigid ureterorenoscopy in the prevention of migration of proximal ureteral stones %A Abdullah Erdoğan , Ercüment Keski̇n %T A modified basket catheter technique with semi-rigid ureterorenoscopy in the prevention of migration of proximal ureteral stones %D 2021 %J The European Research Journal %P -2149-3189 %V 7 %N 1 %R doi: 10.18621/eurj.643381 %U 10.18621/eurj.643381