REAL LIFE RETROGRADE FLEXIBLE URETERORENOSCOPY VERSUS EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY IN PYELOCALICEAL STONES UNDER 20 MM

Authors

  • V. D. RADU Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • R. C. COSTACHE Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • P. ONOFREI Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • B. NOVAC Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Carina-Alexandra BANDAC Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania
  • D. ARSENI Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania
  • M. VAIDA Department of Urology, “Dr. Iacob Czihac” Clinical Military Emergency Hospital, Iasi, Romania
  • C. RISTESCU Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania

Abstract

The aim of our study was to highlight groups of patients with single pyelocaliceal stones less than 20 mm in whom flexible retrograde ureterorenoscopy (FURS) or extracorporeal shock wave lithotripsy (ESWL) are superior in terms of stone-free rate and complications. Materials and methods: We formed two groups of patients, consisting of patients with single kidney stones under 20 mm in whom FURS was applied (the study group) and another in whom ESWL was performed (the control group). We compared the profile of the patients, the presence of double-J catheters before the procedure, the stone-free rate and the occurrence of complications. Results: Patients in the study group were older (p<0.001), had larger stones (p<0.001) and were more likely to have concomitant diseases (p<0.001). The stone-free rate in patients with stones up to 10 mm was similar in both groups (81.25% vs 78.94%, p=0.777), while for stones between 11 and 19 mm the stone-free rate was higher in the study group (77.77% vs 45.45%, p=0.008). The rate of complications was similar in both groups (p=0.555). Conclusions: FURS has superior efficacy compared to ESWL in patients with single kidney stones between 11 and 19 mm and similar efficacy in patients with single kidney stones up to 10 mm. The complication rate is low and similar in both groups.

Author Biographies

  • V. D. RADU, Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Department of Surgical Specialties (II)
    Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania

  • R. C. COSTACHE, Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Department of Surgical Specialties (II)
    Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania

  • P. ONOFREI, Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Department of Morpho-Functional Sciences II

  • B. NOVAC, Grigore T. Popa” University of Medicine and Pharmacy Iasi

    Department of Surgical Specialties (II)
    Department of Urology and Renal Transplantation, “C.I. Parhon” University Hospital, Iasi, Romania

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Additional Files

Published

2024-09-18