MINIJFIL®: A NEW SAFE AND EFFECTIVE STENT FORWELL-TOLERATED REPEATED EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR URETEROSCOPY FOR MEDIUM-TO-LARGE KIDNEY STONES?

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VOGT BENOIT; DESFEMMES FRANCOIS NOEL; DESGRIPPES ARNAUD; PONSOT YVES

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Journal: Nephro-Urology Monthly Year:2016 | Volume:8 | Issue:5 Page(s): 0-0

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Title

MINIJFIL®: A NEW SAFE AND EFFECTIVE STENT FORWELL-TOLERATED REPEATED EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR URETEROSCOPY FOR MEDIUM-TO-LARGE KIDNEY STONES?

Author(s)

VOGT BENOIT | DESFEMMES FRANCOIS NOEL | DESGRIPPES ARNAUD | PONSOT YVES | Issue Writer Certificate

Keywords

STAGHORN STONE

STENT

THREAD

DILATION

LITHOTRIPSY

URETEROSCOPY

Abstract

Background: Percutaneous nephrolithotomy (PCNL) is recommended for treating STAGHORN STONEs or stones measuring>20 mm.Extracorporeal shockwave LITHOTRIPSY (ESWL) or flexible URETEROSCOPY (URS) may be used as a complement. However, PCNL can cause trauma to the kidney parenchyma, and patients may find a noninvasive procedure, such as ESWL, to be more attractive.Objectives: The aim of this study was to evaluate the clinical efficiency of MiniJFil® STENTing associated with ESWL or second-line URS for the treatment of medium-to-large kidney stones. The MiniJFilÒ is a STENT reduced to a suture of 0.3F attached to a renal pigtail. The entire ureter is occupied only by the suture of the STENT.Methods: We retrospectively analyzed the data of 28 patients. Twenty-four patients had kidney stones measuring>15mm (group 1) and four patients had STAGHORN STONEs (group 2). All of the patients were fitted with MiniJFilÒ 2 - 3 weeks before any treatment.ESWL was always our first-line therapy. Stone-free (SF) status was defined as no evidence of stones.Results: In group 1, themeanlargest and cumulative stone diameters, respectively, were 18.7±5.7mmand 45.0±12.0mm. In group 2, the mean volume was 6, 288.4±2, 733.0mm3. The overall SF was 96.4% (100% for group 1 and 75% for group 2). The mean number of sessions of ESWL and URS, respectively, was 1.4± 0.7 and 0.8±0.9 in group 1 and 4.0±2.0 and 1.5±1.3 in group 2. The mean times to achieve these rates were 3.2±1.7 months and 5.6±2.3 months for groups 1 and 2, respectively. One patient in group 2 was treated with only three sessions of ESWL. Renal colic was observed in only five patients (17.9%).Conclusions: MiniJFilÒ STENTing is safe and may be an alternative for the treatment of kidney stones during minimally invasive procedures.

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APA: Copy

VOGT, BENOIT, DESFEMMES, FRANCOIS NOEL, DESGRIPPES, ARNAUD, & PONSOT, YVES. (2016). MINIJFIL®: A NEW SAFE AND EFFECTIVE STENT FORWELL-TOLERATED REPEATED EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR URETEROSCOPY FOR MEDIUM-TO-LARGE KIDNEY STONES?. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 8(5), 0-0. SID. https://sid.ir/paper/323819/en

Vancouver: Copy

VOGT BENOIT, DESFEMMES FRANCOIS NOEL, DESGRIPPES ARNAUD, PONSOT YVES. MINIJFIL®: A NEW SAFE AND EFFECTIVE STENT FORWELL-TOLERATED REPEATED EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR URETEROSCOPY FOR MEDIUM-TO-LARGE KIDNEY STONES?. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY[Internet]. 2016;8(5):0-0. Available from: https://sid.ir/paper/323819/en

IEEE: Copy

BENOIT VOGT, FRANCOIS NOEL DESFEMMES, ARNAUD DESGRIPPES, and YVES PONSOT, “MINIJFIL®: A NEW SAFE AND EFFECTIVE STENT FORWELL-TOLERATED REPEATED EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR URETEROSCOPY FOR MEDIUM-TO-LARGE KIDNEY STONES?,” THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, vol. 8, no. 5, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/323819/en

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