Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones

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Demirbas Arif; Yazar Veli Mert; Ersoy Erim; Demir Demirhan Orsan; Ozcan Serkan; Karakan Tolga; DOLUOGLU OMER GOKHAN; RESORLU BERKAN; Hascicek Ahmet Metin; Gunseren Kadir Omur

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Journal: UROLOGY JOURNAL Year:2018 | Volume:15 | Issue:6 Page(s): 318-322

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Title

Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones

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Keywords

multiple renal stones

multicalyceal stones

percutaneous nephrolithotomy

retrograde intrarenal surgery

Abstract

Purpose: Comparison of efficiency and reliability of percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS) in treatment of multicalyceal and multiple renal stones in the same renal unit. Materials and Methods: Between 2011 and 2015, records of patients who underwent surgery for renal stone were retrospectively reviewed. Patients who had multiple stones located in different calices in the same renal unit were included. The patients that underwent PNL and RIRS were defined as Group I and Group II, respectively. Patient criteria (age, sex); the stone characteristics; time of procedure, fluoroscopy and hospitalization; stone-free and complication rates of groups were evaluated between the treatment groups. Result: There were no significant differences in terms of age, gender, BMI, laterality, number of stones, number of stone localization, hounsfield units and surface area characteristics of the stone between the PNL (n = 47) and RIRS (n = 35) groups (P =. 558, P =. 278, P =. 375, P = 0. 051, P =. 053, P =. 064, P =. 642, P =. 080, respectively). Stone free rate was 59. 6% (n=28) in PNL, and 88. 6% (n=31) in RIRS (P=. 004). 1st or 2nd degree complications according to Modified Clavien Classification developed in 10 patients (21. 3%) in Group I and 1 patient (2. 9%) in Group II (P =. 015). The 3A or 3B complications were similar in groups (P =. 077). Time of procedure, fluoroscopy and hospitalization were significantly lower in Group II (P <. 001, P <. 001 and P <. 001, respectively). Conclusion: RIRS is more effective and more reliable procedure than PNL with higher stone-free and lower complication rates in treatment of multicalyceal and multiple stone in the same renal unit.

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APA: Copy

Demirbas, Arif, Yazar, Veli Mert, Ersoy, Erim, Demir, Demirhan Orsan, Ozcan, Serkan, Karakan, Tolga, DOLUOGLU, OMER GOKHAN, RESORLU, BERKAN, Hascicek, Ahmet Metin, & Gunseren, Kadir Omur. (2018). Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones. UROLOGY JOURNAL, 15(6), 318-322. SID. https://sid.ir/paper/271245/en

Vancouver: Copy

Demirbas Arif, Yazar Veli Mert, Ersoy Erim, Demir Demirhan Orsan, Ozcan Serkan, Karakan Tolga, DOLUOGLU OMER GOKHAN, RESORLU BERKAN, Hascicek Ahmet Metin, Gunseren Kadir Omur. Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones. UROLOGY JOURNAL[Internet]. 2018;15(6):318-322. Available from: https://sid.ir/paper/271245/en

IEEE: Copy

Arif Demirbas, Veli Mert Yazar, Erim Ersoy, Demirhan Orsan Demir, Serkan Ozcan, Tolga Karakan, OMER GOKHAN DOLUOGLU, BERKAN RESORLU, Ahmet Metin Hascicek, and Kadir Omur Gunseren, “Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones,” UROLOGY JOURNAL, vol. 15, no. 6, pp. 318–322, 2018, [Online]. Available: https://sid.ir/paper/271245/en

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