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Information Journal Paper

Title

Comparison of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Treating 20-40 mm Renal Stones

Pages

  2995-2999

Abstract

 Purpose: To compare the outcomes of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in treating renal stones between 20 and 40 mm in diameter. Materials and Methods: 146 patients, who were treated with RIRS and 146 patients, who were treated with PCNL for renal stones between 20 and 40 mm in diameter were compared retrospectively using a matched-pair analysis. The operative and post-operative outcomes of both groups were analyzed retrospectively. Results: The mean age, gender, body mass index and stone laterality were similar between the groups. The mean stone size was 28. 39 ± 4. 67 mm for the PCNL group and 25. 08 ± 6. 07 mm for the RIRS group (P =. 21). The mean operative times were statistically longer in the RIRS group, whereas the fluoroscopy times, hospitalization times and post-operative visual analogue scores were statistically higher in the PCNL group. The stone-free rates (SFR) after a single procedure were 91. 7% in the PCNL group and 74% in the RIRS group (P =. 04). After auxiliary procedures, the overall SFRs reached 94. 4% for the PCNL group and 92. 3% for the RIRS group (P =. 52). No major complications were observed for both groups. Minor complication (Clavien 1– 3) rates were 6. 8% and 3. 4% for the PCNL and RIRS group, respectively (P =. 18). Conclusion: RIRS has some advantages over PCNL such as shorter hospitalization times, shorter fluoroscopy times and less post-operative pain in treating renal stones between 20 and 40 mm in diameter. However, PCNL has a higher SFR with only a single session.

Cites

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    • Cite

    APA: Copy

    Atis, Gokhan, Culpan, Meftun, Pelit, Eyup Sabri, Canakci, Cengiz, Ulus, Ismail, Gunaydin, Bilal, Yildirim, Asif, & CASKURLU, TURHAN. (2017). Comparison of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Treating 20-40 mm Renal Stones. UROLOGY JOURNAL, 14(2), 2995-2999. SID. https://sid.ir/paper/271397/en

    Vancouver: Copy

    Atis Gokhan, Culpan Meftun, Pelit Eyup Sabri, Canakci Cengiz, Ulus Ismail, Gunaydin Bilal, Yildirim Asif, CASKURLU TURHAN. Comparison of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Treating 20-40 mm Renal Stones. UROLOGY JOURNAL[Internet]. 2017;14(2):2995-2999. Available from: https://sid.ir/paper/271397/en

    IEEE: Copy

    Gokhan Atis, Meftun Culpan, Eyup Sabri Pelit, Cengiz Canakci, Ismail Ulus, Bilal Gunaydin, Asif Yildirim, and TURHAN CASKURLU, “Comparison of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Treating 20-40 mm Renal Stones,” UROLOGY JOURNAL, vol. 14, no. 2, pp. 2995–2999, 2017, [Online]. Available: https://sid.ir/paper/271397/en

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