Objectives: To evaluate the efficacy of semirigid ureteroscopy in the management of ureteral stones located in different parts of the ureter.
Methods: 1,503 patients were treated with semirigid ureteroscopy. All ureteral stones were either removed only by a basket catheter or disintegrated by pneumatic lithotripsy. Success rates, auxiliary procedures, complication rates and operation time were comparatively evaluated according to stone location.
Results: Overall, mean stone size and age were 12.1 +/- 3.7 mm and 43.2 +/- 9.72 years, respectively. While 1,416 patients (94.2%) were completely stone-free, the procedure was unsuccessful in 87 cases (5.8%). The success rate was relatively low in the proximal ureter (71.7%) when compared with the mid (94.8%) and distal ureter (98.9%) (p = 0.021). Mean operation time was 25.4 +/- 11.7 min. Longer duration of operation and higher complication rate were found in proximal ureteral calculi. Stone migration to the kidney and hematuria were the main reasons of failure in the proximal ureter and ureteral stenting was needed for 56.4% of patients with upper ureteral stone.
Conclusions: Semirigid ureteroscopy can be the treatment of choice in lower and midureteral stones. However, it is an invasive and less successful treatment modality for proximal ureteral stones with relatively high complication rates.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000288225 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Safety and effectiveness of preoperative stenting compared to non-stenting in ureteroscopy for urinary stone disease: a meta-analysis of comparative studies.
World J Urol
December 2024
Department of Urology, General Hospital of Mexico, Mexico City, Mexico.
Article Synopsis
- Ureteroscopy (URS) is a common surgical method for treating urinary stones smaller than 2 cm, and the use of preoperative stenting (PS) is debated regarding its benefits and outcomes compared to not using it (NPS).
- A comprehensive analysis of 23,668 patients from various studies found that PS led to higher stone-free rates (SFR) and lower rates of complications during and after surgery, particularly when flexible URS was used.
- Overall, PS appears to improve surgical outcomes without increasing complications, suggesting a need for further research on its cost-effectiveness and impact on patient quality of life.
For upper ureteral stone, semirigid ureteroscopy or flexible ureteroscopy? Strengths and weaknesses.
BMC Urol
November 2024
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Background: Flexible and semirigid ureteroscopy are two often used modalities in treating for upper ureteral stone. How about the outcome of each procedure?
Methods: A retrospective cohort study among 167 patients who underwent flexible or semirigid ureteroscopic lithotripsy was performed. The pre-, intra-, postoperative and one-year follow-up outcomes were taken into comparison.
[Endoscopic management of upper urinary tract stones].
Rev Med Suisse
November 2024
Service d'urologie, Département de chirurgie, Hôpitaux universitaires de Genève, 1211 Genève 14.
The treatment of upper urinary tract stones is one of the main urological activities. Endoscopic surgical techniques, namely semirigid or flexible ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL), represent a major therapeutic modality, alternatively to chemolysis, extracorporeal shock wave lithotripsy and open, laparoscopic or robotic-assisted surgery. In this article, the specificities of these endoscopic techniques, their clinical performances, as well as their development following recent technological advances are discussed.
View Article and Find Full Text PDF[Complications of flexible ureterorenoscopy: a systematic review].
Urologiia
May 2024
Russian University of Medicine, Moscow, Russia.
Retrograde intrarenal surgery (RIRS) is a type of endoscopic intervention on the kidneys performed using a semi-rigid or flexible fiber optic endoscope. RIRS is recommended by national clinical guidelines for stone management sized up to 20 mm. However, like any other surgical intervention, RIRS is associated with the risk of complications.
View Article and Find Full Text PDFIs fluoroscopy-free single-use flexible ureteroscopy a feasible treatment for kidney stones with abnormal renal anatomy?
Asian J Urol
October 2024
Urology Department, Menoufia University Hospital, Egypt.
Article Synopsis
- The study evaluated a fluoroscopy-free, single-use flexible ureteroscopy procedure for treating kidney stones, comparing patients with abnormal renal anatomy (Group A) to those with normal anatomy (Group B).
- A total of 120 patients (40 with abnormal anatomy and 80 with normal) were treated, showing no significant differences in operative time, hospital stay, or stone-free rates between the two groups.
- The procedure was mostly completed without fluoroscopy with a high stone-free rate (93%) for stones sized 10-15 mm, indicating that this method is feasible for patients with kidney stones, especially those with abnormal renal anatomy.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!