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Abstract
Background: We assessed the clinical performance of the flexible ureteroscope for treatment of lower pole kidney stones ≤ 2 cm at our center.
Methods: A prospective cohort study was performed in 38 patients who were treated with single - use digital flexible ureteroscopes for lower pole kidney stones ≤ 2 cm from May 2019 to May 2021
Results: Median age was 59,9 ± 11.80; 31,7% case was residual stone fragments after surgeries or other unsuccessful procedures. Median length of the stone was 13,0 ± 4,9 mm; Median number of stones 1,2 ± 0,4 ; 94,7% patients were placed JJ stent before the procedure and 57,9% patients were placed JJ stent after the procedure; Median time using single - use digital flexible ureteroscopes 39.9 ± 16,4 minutes; 2,6% case had bleeding in the surgical field led to stop the procedure and 7,9% case had postoperative fever; 89.5% patients were stone free after one month.
Conclusion: This study showed that flexible ureteroscopes was a safe and effective procedure of treating lower pole kidney stones ≤ 2 cm.
References
Hoang Long, Urolithiasis. Lectures on surgical pathology 2013. 203-204.
Bilgasem S., Pace K. T., Dyer S., et al. Removal of asymptomatic ipsilateral renal stones following rigid ureteroscopy for ureteral stones. Journal of Endourology. 2003;17(6)397-399.
Carpentier X, Meria P, Bensalah K. Mise au point sur la prise en charge des calculs du rein en 2013. Comité Lithiase de l´Association française d´urologie. Prog. Urol. 2014;24319-326.
Herrera - Gonzalez G., Netsch C., Oberhagemann K. ea. Effectiveness of single flexible ureteroscopy for multiple renal calculi. Journal of Endourology. 2011;25(3)431-435.
Donaldson JF, Lardas M, Scrimgeour D, Stewart F, MacLennan S, Lam TB, et al. Systematic review and meta - analysis of the clinical effectiveness of shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy for lower-pole renal stones. Eur Urol. 2015;67(4):612-6.
Türk C. and et al. Specific stone management of ureteral stones. EAU Guidelines on Urolithiasis. 202126-28.
Deters L.A. and et al. Evaluating the definition of “stone free status” in contemporary urologic literature. Clin Nephrol. 201176:354-7.
Bao PT. Evaluation of results of treatment of kidney stones with flexible ureteroscopes 2016.
Wang C, Wang S, Wang X, Lu J. External validation of the R.I.R.S. scoring system to predict stone-free rate after retrograde intrarenal surgery. BMC Urol. 2021;21(1):33.
Golomb D, Goldberg H, Tapiero S, Stabholz Y, Lotan P, Darawsha AE, et al. Retrograde intrarenal surgery for lower pole stones utilizing stone displacement technique yields excellent results. Asian J Urol. 2023;10(1):58-63.
Giulioni C, Castellani D, Somani BK, Chew BH, Tailly T, Keat WOL, et al. The efficacy of retrograde intra-renal surgery (RIRS) for lower pole stones: results from 2946 patients. World J Urol. 2023.
Xiao Y, Li D, Chen L, Xu Y, Zhang D, Shao Y, et al. The R.I.R.S. scoring system: An innovative scoring system for predicting stone - free rate following retrograde intrarenal surgery. BMC Urol. 2017;17(1):105.
Martin F., Hoarau N., Lebdai S., et al. Impact of lower pole calculi in patients undergoing retrograde intrarenal surgery. Journal of Endourology. 2014;28(2)141-145.
Leibovici D. and et al. Ureteral stents: morbidity and impact on quality of life. Isr Med Assoc J. 2005;7(8):491-4.
Miernik A., Wilhelm K., Ardelt P. U., et al. Standardized flexible ureteroscopic to improve stone. Urology. 2012;80(6)1198-1202.
Resorlu B., Oguz U., Resorlu E.B., et al. The impact of pelvicaliceal anatomy on the success of retrograde intrarenal surgery in patients with lower pole renal stones. Urology Journal. 2012;79(1)61-66
| Published | 28-12-2024 | |
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| Issue | No. 88 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.88.2 | |
| Keywords | Sỏi đài thận dưới, nội soi mềm Lower pole kidney stones, flexible ureterorenoscopy |
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