Complications of Pneumatic Ureterolithotripsy in the Early Postoperative Period

Aridogan, Ibrahim Atilla; Zeren, Sinan; Bayazit, Yıldırım; Soyupak, Bülent; Doran, Saban

doi:10.1089/end.2005.19.50

Cited by 36 publications

(21 citation statements)

References 15 publications

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“…Our overall complication rate of 15.3% is comparable to those reported in the literature, which range from 5.5% to 13% [27,28]. However, performing ureteroscopy and PL after failed SWL sessions can be problematic.…”

Section: Discussionsupporting

confidence: 64%

Pneumatic lithotripsy for large ureteral stones: is it the first line treatment?

et al. 2007

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Although SWL is generally accepted as the first treatment option for ureteral stones because of its non-invasive nature, PL with ureteroscopy seems to be a good alternative with the advantage of higher success rates and quick stone clearance. Especially when we take the importance of quick stone removal into account for larger ureteral stones, which are more likely to have obstruction, impaction, or infection, we believe that PL may be chosen as the first line treatment rather than SWL for stones larger than 10 mm.

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Section: Discussionsupporting

confidence: 64%

Pneumatic lithotripsy for large ureteral stones: is it the first line treatment?

et al. 2007

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“…The well-known complications of the procedure range from postoperative fever to extensive ureteral stenosis requiring major reconstructive procedures. The overall complication rates of URS range widely, from 4 to 28.4% [1,2,3,4,5,6,7]. Nevertheless, despite a decreasing trend over time, URS still results in complications.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Complications of Pneumatic Lithotripsy for the Treatment of Ureteral Stones with Different Localizations: A Multivariate Analysis of Complications

et al. 2013

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Objective: To evaluate the complications of ureterorenoscopy (URS) using the modified Clavien classification system for ureteral stones with different localizations. Patients and Methods: From February 2001 to January 2010, a total of 1,926 patients underwent URS for the treatment of ureteral stones with different localizations. The complications were evaluated according to the modified Clavien system. Univariate and multivariate analyses were conducted to identify risk factors affecting the complication rates. Results: The patient cohort included 1,212 males and 714 females with a mean age of 47.8 ± 14.3 years (range 15-86). The success rate was 95.7%. The overall complication rate was 9.3%. Univariate analysis revealed that solitary kidney, stone burden, bilaterality, stone localization (proximal to the iliac crest) and stone impaction significantly affected the complication rates. Multivariate analysis revealed that preoperative shock wave lithotripsy treatment, stone impaction, multiplicity, proximal localization and stone burden were significant parameters affecting the occurrence of complications (relative risks of 6.5, 4.3, 3.3, 2.4 and 2.0, respectively). Conclusions: URS is a safe and minimally invasive procedure with a high success rate and low-grade, self-limiting complications. Preoperative shock wave lithotripsy treatment, stone impaction, multiplicity, proximal localization and stone burden were independent risk factors for the development of complications.

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“…[1] Different kinds of lithotripters are used through the ureteroscope that revolutionized the treatment of ureteral calculi. [2] Two most common lithotripters that used in urologic fields are pneumatic and Ho:YAG laser. Pneumatic lithotripsy is more popular among the urologists because of its low cost, easy setup, and high success rate.…”

Section: Introductionmentioning

confidence: 99%

Treatment of ureteral stones: A prospective randomized controlled trial on comparison of Ho:YAG laser and pneumatic lithotripsy

et al. 2008

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Objectives:To study the treatment of ureteric stones by HO:YAG laser lithotripsy and pneumatic lithotripsy and to evaluate the results of the two treatment modalities to assess effectiveness and complications.Materials and Methods:Over 1-year period, a total of 79 patients with 82 ureteral stones were randomized into two groups. In group 1 (39 cases with 41 ureteral stones) ureteroscopic HO:YAG laser lithotripsy was performed using a rigid 8 Fr-ureteroscope (LL group). In group 2 (40 cases with 41 ureteral stones) pneumatic lithotripsy was performed in like manner. Efficacy safety and complications in both groups were analyzed.Results:A total of 79 patients with 82 calculi were treated. Two cases in LL group and one in PL group had bilateral ureteral stones. Mean stone size was 12.07 mm in LL group and 10.2 mm in PL group. Stones located in lower ureter in 30 cases on LL group and 29 cases in PL group. Proximal migration of stone occurred in 1 case on LL group and in 3 cases on PL group. Successful fragmentation occurred in 37 cases on LL group and in 30 cases on PL group. Stone-free rate after 1 month in the base of Kidney Ureter Bladder (KUB) and sonography was 95% in LL group and 80.5% in PL group. Ureteral perforation, urinoma, and urosepsis were not seen in both groups.Conclusion:HO:YAG laser has advantages over PL in high efficacy of stone fragmentation and a low-retrograde migration of ureteral stone treatment. Other complication of ureteral stone treatment with LL and PL are the same and very rare.

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Complications of Pneumatic Ureterolithotripsy in the Early Postoperative Period

Abstract: Ureterolithotripsy by a pneumatic lithotripter is a minimally invasive, highly tolerable procedure with a low complication rate and short hospital stay when performed meticulously with appropriate instruments.

Cited by 36 publications

References 15 publications

Pneumatic lithotripsy for large ureteral stones: is it the first line treatment?

Pneumatic lithotripsy for large ureteral stones: is it the first line treatment?

Factors Affecting the Complications of Pneumatic Lithotripsy for the Treatment of Ureteral Stones with Different Localizations: A Multivariate Analysis of Complications

Treatment of ureteral stones: A prospective randomized controlled trial on comparison of Ho:YAG laser and pneumatic lithotripsy

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