Safety and Efficacy of Same-Session Bilateral Ureteroscopy

Hollenbeck, Brent K.; Schuster, Timothy G.; Faerber, Gary J.; Wolf, J. Stuart

doi:10.1089/089277903772036190

Cited by 62 publications

(69 citation statements)

References 14 publications

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“…Some of these investigators have reported that bilateral calculi can be managed by bilateral URS, with low complication and high success rates (18,19). In contrast, Hollenbeck et al reported a complication rate of 26% in same session of ureteroscopic procedures (20). In their study, the post-operative complications included post--operative pain, urosepsis, urinoma and pulmonary embolus resulting in death.…”

Section: Discussionmentioning

confidence: 97%

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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Section: Discussionmentioning

confidence: 97%

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

et al. 2013

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“…Hollenbeck et al [25] reported that bilateral URS carries an increased risk of postoperative morbidity in their series of 34 patients with bilateral ureteral calculi. They concluded that the risk is proportional to the number of renal units treated.…”

Section: Discussionmentioning

confidence: 99%

Is Bilateral Ureterorenoscopy the First Choice for the Treatment of Bilateral Ureteral Stones? An Updated Study

et al. 2012

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Introduction: We analyze our recent results and discuss the advantages and disadvantages of bilateral single-session ureterorenoscopy (URS) for bilateral ureteral stones. Patients and Methods: 55 patients underwent URS with pneumatic lithotripsy (PL) for bilateral stones. 61 (55.5%), 28 (25.4%) and 21 (19.1%) stones were located in the lower, middle and upper ureter, respectively. Results: Of the 110 stones, 99 (90.0%) were fragmented in a single procedure. The stone clearance rate was 94.5% after the second session. The stone clearance rates with regard to stone location were 71.4, 89.3 and 96.7% for the upper, middle and lower ureter, respectively. An analysis of the clearance rates based on location demonstrated that lower ureteric stones were more successfully removed than upper ureteric stones (96.7 vs.71.4%, p = 0.003). Conclusion: Bilateral single-session URS with PL is a highly effective treatment modality for bilateral ureteral stones. The success rate of PL is affected by stone size and location.

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“…Günlüsoy et al reported that bilateral single-session pneumatic lithotripsy can be performed safely and has high success rates with minimal morbidity and short hospital stay (2). In contrast, Hollenbeck et al reported that bilateral ureteroscopy carries out an increased risk of postoperative morbidity (3). Thus, today, there is still no consensus on single-session URSL for the management of bilateral ureteric stones.…”

Section: Original Article Introductionmentioning

confidence: 99%

Single-session ureteroscopic pneumatic lithotripsy for the management of bilateral ureteric stones

İsen

2012

Int. braz j urol.

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Purpose:In nowadays there is no consensus on single-session ureteroscopic lithotripsy (URSL) for the management of bilateral ureteric stones. The aim of this study was to evaluate efficacy and safety of single-session URSL in patients with bilateral ureteric stones. Materials and Methods: 41 patients who have undergone bilateral single-session URSL were evaluted in this study. A 8/9.8 Fr Wolf semi-rigid ureteroscope was used for the procedures, and the stones were fragmented with pneumatic lithotripter. Results: A high stone-free rate was achieved (90.2%) after single endoscopic procedure with a retreatment rate of 9.8%. The procedure was most successful for distal ureteric stones with a 96.2% stone-free rate followed by middle ureteric stones with a 81.8% stone-free rate while the least success was achieved for proximal ureteric stones with a 77.7% stone-free rate (p < 0.05). A greater stone-free rate was obtained in those with stones less than 10 mm (93.7%) than in those with stones larger than 10 mm (77.7%) (p < 0.05). Ureteral perforation occurred in only one patient (2.4 %). no long-term complication was observed in any patient. Conclusions: Bilateral single-session URSL can be performed effectively and safely with a low complication rate in patients with bilateral ureteric stones. It can reduce the need of anaesthetics and hospital stay. Sıngle

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Safety and Efficacy of Same-Session Bilateral Ureteroscopy

Abstract: Bilateral ureteroscopy carries an increased risk of postoperative morbidity. The risk is proportional to the number of renal units treated and may be assumed at once (e.g., same-session) or over time (e.g., staged) as it applies to patients requiring bilateral ureteroscopy.

Cited by 62 publications

References 14 publications

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

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

Is Bilateral Ureterorenoscopy the First Choice for the Treatment of Bilateral Ureteral Stones? An Updated Study

Single-session ureteroscopic pneumatic lithotripsy for the management of bilateral ureteric stones

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