Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy in the Management of Lower-Pole Renal Stones with a Diameter of 15 to 20 mm

Bozkurt, Ömer Faruk; Reşorlu, Berkan; Yıldız, Yıldıray; Can, Ceren Eda; Ünsal, Ali

doi:10.1089/end.2010.0737

Cited by 165 publications

(123 citation statements)

References 25 publications

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“…According to our results, the stone-free rate of this surgery was 81.2% and between 70% and 97% in the international literature. [4][5][6][7][11][12][13][14] These studies mentioned above showed that our results were consistent with the international literature. Up to date, no specific classification system has been described for per-operative complication of RIRS.…”

Section: Discussionsupporting

confidence: 93%

“…In a study by Bozkurt et al, stone-free and per-operative complication rates were reported as 89.2% and 5.4% (grade 1 and 2) in 37 patients who underwent RIRS. 12 In a review by Breda and Angerri, 10 studies were assessed and overall stonefree and per-operative complication rates were reported as 89.3% and 8%, respectively. 7 They noted that major complication rate was 1.9%.…”

Section: Discussionmentioning

confidence: 99%

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Retrograde Intrarenal Surgery is equally efficient and safe in patients with different American Society of Anesthesia physical status

et al. 2016

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Retrograde Intrarenal Surgery is equally efficient and safe in patients with different American Society of Anesthesia physical status

et al. 2016

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“…RIRS is a reasonable alternative to PCNL and ESWL in lowvolume lower calyx stones, because it has a lower complication rate compared with PCNL and a stone-free rate similar to that of ESWL. Bozkurt et al [8] compared the results of 42 PCNL and 37 RIRS patients treated for clearance of renal stones with sizes of 1.5-2 cm. They reported the success rate as 92.8% for PCNL and 89.2% for RIRS.…”

Section: Discussionmentioning

confidence: 99%

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Karakoç

Karakeçi

Ozan

et al. 2015

Turkish Journal of Urology

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Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones greater than 2 cm and to compare its results with those of percutaneous nephrolithotomy (PCNL). Material and methods:We retrospectively analyzed a total of 143 patients: 86 patients (53 males and 33 females) who underwent PCNL and 57 patients (37 males and 20 females) who underwent RIRS between October 2009 and October 2013. Results:The mean duration of operation was 100.26±33.26 min in the RIRS group and 75.55±21.5 min in the PCNL group (p<0.001). The hospital stay was significantly shorter in the RIRS group (1.56±0.8 vs. 4.57±2.1 days in the RIRS and PCNL groups, respectively; p<0.001). Stone-free rates after one session were 66.6% and 91.8% of the RIRS and PCNL groups, respectively. The stone-free rate of the RIRS group improved to 87.7% after the second session. Blood transfusions were required in two patients in the PCNL group. Complication rates were higher in the PCNL group. Conclusion:This study revealed that RIRS can be an alternative to PCNL in the treatment of kidney stones with a diameter of 2-4 cm especially in patients with comorbidities.

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“…At the other site, the guidelines recommend PCNL or fURS for stones >15mm that are located in the lower pole, given that SWL has limited efficacy in the treatment of these stones (1). Despite these recommendations, there have been various published articles reporting high success rates with fURS, even for high stone burdens in any kidney location (13)(14)(15). The retrograde intrarenal stone surgery is gaining more popularity day by day, given that it offers similar SFR and lower complication rates compared with PCNL, as well as and higher success rates compared with SWL (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

et al. 2013

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Purpose: The aim of the study was to evaluate the efficacy and safety of bilateral single--session retrograde intrarenal surgery in the treatment of bilateral renal stones. Materials and Methods: From December 2008 to February 2012, 42 patients who had undergone bilateral single-session retrograde intrarenal surgery (RIRS) and laser lithotripsy were included in the study. The procedures were performed in the lithotomy position on an endoscopy table under general anesthesia, beginning on the side in which the stone size was smaller. Plain abdominal radiography, intravenous urograms (IVU), renal ultrasonography (USG) and / or non-contrast tomography (CT) scans were conducted for all patients. The success rate was defined as patients who were stone-free or only had residual fragment less than 4 mm. Results: A total of 42 patients (28 male, 14 female) with a mean age 39.2 ± 14.2 were included in the present study. The mean stone size was 24.09 ± 6.37 mm with a mean operative time of 51.08 ± 15.22 minutes. The stone-free rates (SFR) were 92.8% and 97.6% after the first and second procedures, respectively. The average hospital stay was 1.37 ± 0.72 days. In two patients (4.7%), minor complications (Clavien I or II) were observed, whereas no major complications (Clavien III-V) or blood transfusions were noted in the studied group. Conclusions: Bilateral single-session RIRS and laser lithotripsy can be performed safely and effectively with a high success rate and low complication rate in patients with bilateral renal stones.

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Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy in the Management of Lower-Pole Renal Stones with a Diameter of 15 to 20 mm

Abstract: PCNL and RIRS are safe and effective methods for medium-sized LP calculi. For selected patients, RIRS may represent an alternative therapy to PCNL, with acceptable efficacy and low morbidity.

Cited by 165 publications

References 25 publications

Retrograde Intrarenal Surgery is equally efficient and safe in patients with different American Society of Anesthesia physical status

Retrograde Intrarenal Surgery is equally efficient and safe in patients with different American Society of Anesthesia physical status

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

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