Comparison of Stone Retrieval Basket, Stone Cone and Holmium Laser: Which One Is Better in Retropulsion and Stone-Free Status for Patients with Upper Ureteral Calculi?

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ALLAMEH FARZAD; RAZZAGHI MOHAMMAD REZA; FALLAH KARKAN MORTEZA; HOSSEINI BEHNAM; Tayyebiazar Ali; RANJBAR ARASH; RAHAVIAN AMIRHOSSEIN; Ghiasy Saleh

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Journal: JOURNAL OF LASERS IN MEDICAL SCIENCES Year:2019 | Volume:10 | Issue:3 Page(s): 179-184

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Title

Comparison of Stone Retrieval Basket, Stone Cone and Holmium Laser: Which One Is Better in Retropulsion and Stone-Free Status for Patients with Upper Ureteral Calculi?

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Keywords

Stone cone

Stone retrieval basket

Transurethral lithotripsy

Ureteral calculi

Ureteral stone

Lithoclast lithotripter

Holmium-YAG laser

Abstract

Introduction: Transurethral lithotripsy (TUL) is an appropriate treatment for Ureteral stones and is usually used for stones in the middle and lower part of the ureter. Different devices such as the Holmium laser, the stone basket, and the Stone cone exist to prevent any fragments from retropulsion during TUL. The present study aims to compare the advantages and disadvantages of the Holmium laser, the stone basket, and the Stone cone. Methods: A retrospective study was conducted from September 2016 to January 2018 comparing various TUL methods in 88 subjects with proximal Ureteral calculi. The study participants were divided into 4 matched groups. The first one included 20 patients undergoing TUL with no device (group 1), the second group included 22 patients undergoing TUL while using the Stone retrieval basket, the third group included 18 patients undergoing TUL while utilizing the Stone cone and the fourth group included 28 patients undergoing TUL while using the Hol-YAG laser. Results: A residual stone ≥ 3 mm was recorded in 15. 9% of the patients. The stone free rate was seen in 100%, 90. 9, 83. 3%, and 55% of the Holmium laser group, the retrieval basket group, the Stone cone group and the no device group respectively (P = 0. 001). The lowest rate of surgery complications including ureteral perforation, post-operative fever, and mucosal damage between the 4 groups (P = 0. 003) and the highest time of surgery (P = 0. 001) belonged to the laser group. If we want to ignore the laser group, the success rate for lithotripsy was better in both groups with a stone retrieval device compared to the no device group, but no advantage existed between the stone basket and the Stone cone. Conclusion: We can safely conclude that lasers significantly help to prevent stone migration during TUL. If we want to ignore the laser group, the success rate for lithotripsy was significantly better in both groups with a stone retrieval device compared to the no device group, but no advantage existed between the stone basket and the Stone cone.

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APA: Copy

ALLAMEH, FARZAD, RAZZAGHI, MOHAMMAD REZA, FALLAH KARKAN, MORTEZA, HOSSEINI, BEHNAM, Tayyebiazar, Ali, RANJBAR, ARASH, RAHAVIAN, AMIRHOSSEIN, & Ghiasy, Saleh. (2019). Comparison of Stone Retrieval Basket, Stone Cone and Holmium Laser: Which One Is Better in Retropulsion and Stone-Free Status for Patients with Upper Ureteral Calculi?. JOURNAL OF LASERS IN MEDICAL SCIENCES, 10(3), 179-184. SID. https://sid.ir/paper/326148/en

Vancouver: Copy

ALLAMEH FARZAD, RAZZAGHI MOHAMMAD REZA, FALLAH KARKAN MORTEZA, HOSSEINI BEHNAM, Tayyebiazar Ali, RANJBAR ARASH, RAHAVIAN AMIRHOSSEIN, Ghiasy Saleh. Comparison of Stone Retrieval Basket, Stone Cone and Holmium Laser: Which One Is Better in Retropulsion and Stone-Free Status for Patients with Upper Ureteral Calculi?. JOURNAL OF LASERS IN MEDICAL SCIENCES[Internet]. 2019;10(3):179-184. Available from: https://sid.ir/paper/326148/en

IEEE: Copy

FARZAD ALLAMEH, MOHAMMAD REZA RAZZAGHI, MORTEZA FALLAH KARKAN, BEHNAM HOSSEINI, Ali Tayyebiazar, ARASH RANJBAR, AMIRHOSSEIN RAHAVIAN, and Saleh Ghiasy, “Comparison of Stone Retrieval Basket, Stone Cone and Holmium Laser: Which One Is Better in Retropulsion and Stone-Free Status for Patients with Upper Ureteral Calculi?,” JOURNAL OF LASERS IN MEDICAL SCIENCES, vol. 10, no. 3, pp. 179–184, 2019, [Online]. Available: https://sid.ir/paper/326148/en

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