Retrograde Intrarenal Surgery in Patients Who Previously Underwent Open Renal Stone Surgery

Abstract

Purpose. To ascertain whether retrograde intrarenal surgery (RIRS) is as effective in patients treated previously with open renal stone surgery (ORSS) on the same kidney as in patients with no previous ORSS. Methods. There were 32 patients with renal stones who had previous ORSS and were treated with RIRS in the study group (Group 1). A total of 38 patients with renal stones who had no previous ORSS and were treated with RIRS were selected as the control group (Group 2). Recorded data regarding preoperative characteristics of the patients, stone properties, surgical parameters, outcomes, SFRs (no fragments or small fragments <4 mm), and complications between groups were compared. Results. Mean age, mean BMI, mean hospital stay, and mean operative time were not statistically different between groups. Mean stone size (10.1 ± 5.6 versus 10.3 ± 4.2; p = 0.551) and mean stone burden (25.4 ± 14.7 versus 23.5 ± 9.9; p = 0.504) were also similar between groups. After the second procedures, SFRs were 100% and 95% in groups 1 and 2, respectively (p = 0.496). No major perioperative complications were seen. Conclusion. RIRS can be safely and effectively performed with acceptable complication rates in patients treated previously with ORSS as in patients with no previous ORSS.

Retrograde intrarenal surgery for renal stones - Part 2

“…Alkan et al [49] compared 32 and 38 patients with and without a history of open renal stone surgery, respectively. SFRs were 100% and 95% after second procedure, and clinically insignificant residual fragment (≤4 mm) rates were 29% and 20% for patients with and without history of surgery, respectively.…”

Recent scoring systems predicting stone-free status after retrograde intrarenal surgery; a systematic review and meta-analysis

“…Advances in surgical techniques and urological devices have made minimal invasive surgery for kidney stones more preferred in recent years. Shock wave lithotripsy, retrograde intrarenal surgery (RIRS), and percutaneous nephrolithotomy (PNL) have replaced open kidney stone surgery in many cases [ 1 ]. Which treatment should be chosen for which stone in the kidney is of critical importance.…”

Üriner Sistem Taşlarında Önceki Müdahalelerin Preoperatif Faktörlere ve Postoperatif Sonuçlara Etkisi: İki Merkezli Analiz

“…Alkan ve ark. 'nın açık taş operasyonu öyküsünün RİRC üzerine etkisini inceledikleri 70 hastalık retrospektif çalışmada da, primer ve sekonder hastaların demografik özellikler ve taş karakteristikleri açısından benzer olduğu, taşsızlık ve komplikasyon açısından da iki grup arasında farklılık saptanmadığı bildirildi (20). İdrar yolu taş hastalığı olan hastaların postoperatif dönemde metabolik çalışmalarının, hastalığın taş tipine ve ciddiyetine göre bireyselleştirilmesi gerektiği açıktır.…”