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Information Journal Paper

Title

RETROGRADE INTRARENAL SURGERY VERSUS SHOCK WAVE LITHOTRIPSY FOR RENAL STONES SMALLER THAN 2 CM: A RANDOMIZED CLINICAL TRIAL

Pages

  2823-2828

Abstract

 Purpose: To compare outcomes of RETROGRADE INTRARENAL SURGERY (RIRS) with extracorporeal shock wave LITHOTRIPSY (SWL) for stones ≤ 2 cm.Materials and Methods: Patients who were diagnosed with KIDNEY stones of ≤2 cm underwent RIRS or SWL in a parallel group randomized clinical trial with balanced randomization [1: 1] from 2011 to 2014. The primary outcome of interest was stone free rate after a single session intervention. Patients were evaluated by ultrasonography and KUB at 1 and 3 months after the intervention for the presence of residual stone by a radiologist who was blinded to the study.Results: The stone free rate one month after a single session intervention in the RIRS group was higher than the SWL group (90% versus 75%, P=.03). The success rates after two sessions of RIRS versus SWL were 96.7% versus 88.3% respectively. (P=.08) Patients in the RIRS group had significantly lower postoperative visual analogue pain score compared to the SWL group (5.2±2.8 versus 3.1±2.7, P<.001). Steinstrasse formation and renal hematoma were observed in 4 and one patient in the SWL group versus no patient in the RIRS group. Postoperative hospital stay was significantly shorter in the SWL group (6.7±1.3 versus18.9±4.3 hours, P<.001).Conclusion: The RIRS procedure is a safe treatment option for renal stones of ≤2cm with less pain and higher success rate at first session compared to SWL.

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    APA: Copy

    JAVANMARD, BABAK, KASHI, AMIR HOSSEIN, MAZLOOMFARD, MOHAMMAD MOHSEN, ANSARI JAFARI, ANAHITA, & AREFANIAN, SAEED. (2016). RETROGRADE INTRARENAL SURGERY VERSUS SHOCK WAVE LITHOTRIPSY FOR RENAL STONES SMALLER THAN 2 CM: A RANDOMIZED CLINICAL TRIAL. UROLOGY JOURNAL, 13(5), 2823-2828. SID. https://sid.ir/paper/271193/en

    Vancouver: Copy

    JAVANMARD BABAK, KASHI AMIR HOSSEIN, MAZLOOMFARD MOHAMMAD MOHSEN, ANSARI JAFARI ANAHITA, AREFANIAN SAEED. RETROGRADE INTRARENAL SURGERY VERSUS SHOCK WAVE LITHOTRIPSY FOR RENAL STONES SMALLER THAN 2 CM: A RANDOMIZED CLINICAL TRIAL. UROLOGY JOURNAL[Internet]. 2016;13(5):2823-2828. Available from: https://sid.ir/paper/271193/en

    IEEE: Copy

    BABAK JAVANMARD, AMIR HOSSEIN KASHI, MOHAMMAD MOHSEN MAZLOOMFARD, ANAHITA ANSARI JAFARI, and SAEED AREFANIAN, “RETROGRADE INTRARENAL SURGERY VERSUS SHOCK WAVE LITHOTRIPSY FOR RENAL STONES SMALLER THAN 2 CM: A RANDOMIZED CLINICAL TRIAL,” UROLOGY JOURNAL, vol. 13, no. 5, pp. 2823–2828, 2016, [Online]. Available: https://sid.ir/paper/271193/en

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