1806 Retrograde Intrarenal Surgery (Rirs) in the Treatment of Renal Stones Between 2 and 4 Cm

Giusti, Guido; Maugeri, Orazio; Benetti, Alessio; Piccinelli, Alessandro; Taverna, Gianluigi; Zandegiacomo, Silvia; Peschechera, Roberto; Graziotti, P.

doi:10.1016/j.juro.2010.02.1731

Cited by 13 publications

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“…RIRS can be considered a proper alternative to PCNL in cases with significant comorbidity (anticoagulation, cardiopulmonary disease, advanced age) [41] , and in cases with additional adverse anatomical factors such as obesity and renal malformations [42] . Giusti et al [43,44] [43] . Although RIRS has been related with repeated operations for the treatment of renal stones greater than 2 cm in diameter, it contributes to preservation of renal parenchyma, which might be substantial for patient with renal insufficiency [44,45] .…”

Section: Retrograde Intrarenal Surgerymentioning

confidence: 99%

“…Giusti et al [43,44] [43] . Although RIRS has been related with repeated operations for the treatment of renal stones greater than 2 cm in diameter, it contributes to preservation of renal parenchyma, which might be substantial for patient with renal insufficiency [44,45] . Consequently, more comprehensive studies are needed for evaluating the effect of RIRS on renal function.…”

Section: Retrograde Intrarenal Surgerymentioning

confidence: 99%

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Effect of urinary stone disease and its treatment on renal function

Mercimek

Özden

2015

WJN

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Urolithiasis is a common disease that affects urinary tract in all age groups. Both in adults and in children, stone size, location, renal anatomy, and other factors, can influence the success of treatment modalities. Recently, there has been a great advancement in technology for minimally invasive management of urinary stones.The epoch of open treatment modalities has passed and currently there are much less invasive treatment approaches, such as percutaneous nephrolithotomy, ureteroscopy, shockwave lithotripsy, and retrograde internal Surgery. Furthermore, advancement in imaging technics ensures substantial knowledge that permit physician to decide the most convenient treatment method for the patient. Thus, effective and rapid treatment of urinary tract stones is substantial for the preservation of the renal function. In this review, the effects of the treatment options for urinary stones on renal function have been reviewed. Core tip: In this article, urinary stone disease, treatment options and its effects on renal function are examined. Moreover, in the light of recent publications, effect of treatment options on functional state of the kidney in patients with renal impairment is investigated.Mehmet NM, Ender O. Effect of urinary stone disease and its treatment on renal function. World

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Section: Retrograde Intrarenal Surgerymentioning

confidence: 99%

Section: Retrograde Intrarenal Surgerymentioning

confidence: 99%

Effect of urinary stone disease and its treatment on renal function

Mercimek

Özden

2015

WJN

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“…RIRS has good efficacy and less morbidity in the treatment of large renal stones. In many series, the overall success rates were reported to be between 77-93% after additional procedures for the treatment of renal stones larger than 2 cm [5,7,19]. More recently, Al-Busaidy et al reported an 81% SFR with a mean average procedure number of 2.1 in 71 patients who had 2-4 cm renal stones [20].…”

Section: Discussionmentioning

confidence: 99%

Comparison of ureteroscopy and percutaneous nephrolithotomy for renal pelvic stones over 2 cm

Küçükdurmaz¹

2018

Ann Clin Anal Med

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Aim: Advances in the technology of ureteroscopes and lithotriptors have led to the implementation of retrograde intrarenal surgery (RIRS) in the treatment of renal Stones. This study aimed to compare the outcomes and complications of semirigid ureterorenoscopy (s-URS) and percutaneous nephrolithotomy (PCNL) for the treatment of renal pelvic stones larger than 2 cm, retrospectively. Material and Method: Between January 2014 and July 2016, 90 patients with single renal pelvic stones of more than 2 cm were treated by PCNL (group 1) or s-URS (group 2). Group 1 had 44; group 2 had 46 patients. Demographic features of patients such as age, gender, body mass index (BMI) as well as stone size were compared. Perioperative course and postoperative outcomes such as stone-free and complication rates were also evaluated. Patients assessed by plain abdominal radiography 24 hours after surgery and non-contrast computed tomography at 3rd months, postoperatively. Clinical success was defined as stone-free status. Results: Mean ages of patients in group 1 and 2 were 40.29±19.78 and 38.41±23.26 year, respectively (p=0.681). Two groups were comparable in terms of gender, BMI, grade of hydronephrosis. Mean stone sizes were also similar. The mean operation, fluoroscopy and hospitalization times were shorter in group 2. After first sessions, mean stone-free rates for PCNL and s-URS were 81.8% and 60.8%, respectively (p=0.037). In the s-URS group,11 patients underwent f-URS due to stone migration into lower calix, and 7 of them became stone-free after those procedures. At 3rd months follow-up, those rates were determined as 84.1% and 76%, respectively. Discussion: Although s-URS is not superior to PCNL in the treatment of large renal pelvic stones, it can be used to reach renal pelvis and fragment those stones in selected cases.

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“…As a result, open surgery has been abandoned (1)(2)(3). The goal of treating kidney stones is to minimize trauma caused by surgery in patients, rescue the patients from the stone, and prevent the formation of new stones (4,5). Endoscopic miniaturization, advances in the optical quality of deflection mechanisms, and laser technology have increased the use of ureterorenoscope for the treatment of ureteral and kidney stones.…”

Section: Introductionmentioning

confidence: 99%

An exploration of factors that cause the spontaneous migration of double-J stents after retrograde intrarenal surgery

Şendoğan¹

2019

Erciyes Med J

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Objective: Retrograde intrarenal surgery (RIRS) is a minimally invasive and relatively new method of treatment for kidney stones. We aimed to identify the factors that cause stent migration in patients who have undergone RIRS to treat kidney stones. Materials and Methods: Four hundred and twenty-eight patients who underwent RIRS to treat kidney stones that were less than 2 cm in size and had JJ stents inserted intraoperatively between December 2013 and December 2017 were included in this study. For each patient, demographic data and, if present, JJ stent migration direction and postoperative complications were recorded. Twenty-eight patients who experienced JJ stent migration (group 1) and 400 patients who did not experience the migration (group 2) were compared. Results: Postoperative complications developed in a total of 39 (9.1%) patients. Seventeen complications were evaluated as minor (Clavien 1-2) and 22 (5.1%) were evaluated as major. Almost all of the major complications (n=21) were found to be associated with JJ stent migration. Urosepsis was detected in only one patient (Clavien 4). The mean ages in groups 1 and 2 were 45.4±17.3 years and 44.3±15.1 years, respectively. The mean stone size in group 1 was 16.9±3.0 mm, whereas it was 14.2±5.3 mm in group 2 (p=0.031). A comparison of both the groups showed that the likelihood of an occurrence of JJ stent migration increased significantly with the degree of hydronephrosis (p<0.001). Conclusion: JJ stent migration after RIRS increases the rate of major complications. An association was detected between JJ stent migration and an increase in stone size and the degree of hydronephrosis.

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1806 Retrograde Intrarenal Surgery (Rirs) in the Treatment of Renal Stones Between 2 and 4 Cm

Cited by 13 publications

References 0 publications

Effect of urinary stone disease and its treatment on renal function

Effect of urinary stone disease and its treatment on renal function

Comparison of ureteroscopy and percutaneous nephrolithotomy for renal pelvic stones over 2 cm

An exploration of factors that cause the spontaneous migration of double-J stents after retrograde intrarenal surgery

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