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Intrarenal Surgery vs Percutaneous Nephrolithotomy in the Management of Lower Pole Stones Greater than 2 cm.
- Source :
-
International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2015 Mar-Apr; Vol. 41 (2), pp. 245-51. - Publication Year :
- 2015
-
Abstract
- Purpose: To compare the efficacy of RIRS and PNL in lower pole stones ≥ 2 cm. Materials and and Methods: A total of 109 patients who underwent PNL or RIRS for solitary lower pole stone between April 2009 and December 2012, were retrospectively analyzed. Lower pole stone was diagnosed with CT scan. Stone size was assessed as the longest axis of the stone. All patients were informed about the advantages, disadvantages and probable complications of both PNL and RIRS before the selection of the procedure. Patients decided the surgery type by themselves without being under any influences and written informed consent was obtained from all patients prior to the surgery. Patients were divided into two groups according to the patients' preference of surgery type. Group 1 consisted of 77 patients who underwent PNL and Group 2 consisted of 32 patients treated with RIRS. Stone free statuses, postoperative complications, operative time and hospitalization time were compared in both groups.<br />Results: There was no statistical significance between the two groups in mean age, stone size, stone laterality, mean follow-up periods and mean operative times. In PNL group, stone-free rate was 96.1% at first session and 100% after the additional procedure. In Group 2, stone-free rate was 90.6% at the first procedure and 100% after the additional procedure. The final stone-free rates and operative times were similar in both groups.<br />Conclusions: RIRS should be an effective treatment alternative to PNL in lower pole stones larger than 2 cm, especially in selected patients.
- Subjects :
- Adult
Female
Humans
Intraoperative Complications
Kidney surgery
Kidney Calculi pathology
Length of Stay
Male
Middle Aged
Operative Time
Postoperative Complications
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Kidney Calculi surgery
Lithotripsy methods
Nephrostomy, Percutaneous methods
Ureteroscopy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1677-6119
- Volume :
- 41
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- International braz j urol : official journal of the Brazilian Society of Urology
- Publication Type :
- Academic Journal
- Accession number :
- 26005965
- Full Text :
- https://doi.org/10.1590/S1677-5538.IBJU.2015.02.09