Bilateral same-session flexible ureteroscopy for renal stones: a feasible method.
Holmium laser
bilateral ureteroscopy
flexible ureteroscopy
renal stone
Journal
Journal of medicine and life
ISSN: 1844-3117
Titre abrégé: J Med Life
Pays: Romania
ID NLM: 101477617
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
23
11
2021
accepted:
13
01
2022
entrez:
14
4
2022
pubmed:
15
4
2022
medline:
16
4
2022
Statut:
ppublish
Résumé
A staged ureteroscopic procedure is generally preferred to treat bilateral renal stones. In this study, we evaluated the feasibility of bilateral same-session flexible ureteroscopy (BS-fURS) in renal stones. A total of 81 patients underwent bilateral BS-fURS between March 2014 and March 2021 for bilateral renal stones. The mean stone burden per patient was 17±4 (range 7-27 mm). The average stone density was 1240 HU (970 to 1510). We used 4 types of ureteroscopes: Olympus URF-V2 (34 cases), Storz Flex X2 (30 cases), single-use PUSEN PU 3022 (12 cases), and single-use PUSEN - PU 3033A (5 cases). We specifically set our Holmium laser for dusting, pop-corning, and fragmenting. We found 31 calcium oxalate monohydrate cases, 11 calcium oxalate dehydrate cases, 17 uric acid cases, and 22 magnesium ammonium phosphate cases. The mean operating time was 77 min. (range 52 to 85) for both renal units. The SFRs were evaluated between 1 and 3 months with computed tomography (fragments >3 mm were defined as residual). Double J stenting (6Fr.) was applied bilaterally in 8 cases (9.87%) and unilateral in 34 cases (41.97%). The overall SFRs after 1 and 2 procedures were 81.48% (66/81 cases) and 92.59% (75/81 cases), respectively. Postoperative complications after an overall 96 procedures were Clavien I-II (18.75%) and Clavien III (3.12%). Urinary tract infections were observed in 13 cases (16.04%) without any case of urosepsis. Our experience suggested some BS-fURS advantages as a single anesthetic session and potentially reduced cost associated with treatment. BS-fURS seem feasible, especially for medium-sized bilateral renal stones in high-volume centers.
Identifiants
pubmed: 35419108
doi: 10.25122/jml-2021-0385
pii: JMedLife-15-284
pmc: PMC8999109
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
284-291Informations de copyright
©2022 JOURNAL of MEDICINE and LIFE.
Références
Eur Urol. 2009 May;55(5):1190-6
pubmed: 18571315
J Endourol. 2021 Jan;35(1):14-20
pubmed: 32689826
Urology. 2015 Apr;85(4):748-56
pubmed: 25681251
BJU Int. 2005 Nov;96(7):1097-100
pubmed: 16225535
Eur Urol. 2012 Jul;62(1):160-5
pubmed: 22498635
J Urol. 2008 Mar;179(3):981-4
pubmed: 18207179
Eur Urol. 2003 Dec;44(6):709-13
pubmed: 14644124
Arch Ital Urol Androl. 2007 Mar;79(1):20-2
pubmed: 17484399
J Urol. 2009 May;181(5):2152-6
pubmed: 19296977
Urol Clin North Am. 2000 Nov;27(4):623-31
pubmed: 11098761
J Endourol. 2006 Oct;20(10):761-5
pubmed: 17094751
Eur Urol. 2018 Dec;74(6):810-815
pubmed: 30017401
J Endourol. 2011 Jan;25(1):11-7
pubmed: 21247286
J Urol. 1998 Apr;159(4):1139-43
pubmed: 9507817
BMJ. 2007 Mar 3;334(7591):468-72
pubmed: 17332586
Scand J Urol Nephrol. 2011 Mar;45(2):97-101
pubmed: 21082875
J Urol. 2011 Jan;185(1):170-4
pubmed: 21074793
J Urol. 2001 Mar;165(3):789-93
pubmed: 11176469
Urology. 2012 Oct;80(4):800-4
pubmed: 22743260
Urol Clin North Am. 2007 Aug;34(3):409-19
pubmed: 17678990
J Endourol. 2017 Jun;31(6):547-556
pubmed: 28095709
BJU Int. 2007 Jul;100(1):233-6
pubmed: 17552975
J Urol. 1997 Jun;157(6):2074-80
pubmed: 9146583
J Urol. 2005 Jun;173(6):1991-2000
pubmed: 15879803
J Urol. 2004 Jul;172(1):170-4
pubmed: 15201764
J Urol. 2006 Jun;175(6):2129-33; discussion 2133-4
pubmed: 16697818
BJU Int. 2006 Dec;98(6):1283-8
pubmed: 17125486
Minerva Urol Nefrol. 2017 Oct;69(5):432-445
pubmed: 28745038
J Urol. 1995 Mar;153(3 Pt 1):588-92
pubmed: 7861488
Urol Res. 2006 Apr;34(2):108-11
pubmed: 16463145