Omer Faruk Bozkurt1, Abdulkadir Tepeler2, Brian Sninsky3, Ekrem Ozyuvali1, Tevfik Ziypak4, Gokhan Atis5, Mansur Daggulli6, Berkan Resorlu1, Turhan Caskurlu5, Ali Unsal7. 1. Department of Urology, Kecioren Teaching and Research Hospital, Ankara, Turkey. 2. Department of Urology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey; Department of Urology, School of Medicine and Public Health, University of Wisconsin, Madison, WI. Electronic address: akadirtepeler@yahoo.com. 3. Department of Urology, School of Medicine and Public Health, University of Wisconsin, Madison, WI. 4. Department of Urology, Faculty of Medicine, Ataturk University, Erzurum, Turkey. 5. Department of Urology, Faculty of Medicine, Medeniyet University, Istanbul, Turkey. 6. Department of Urology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey. 7. Department of Urology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Abstract
OBJECTIVE: To present the outcomes of flexible ureterorenoscopy (F-URS) and laser lithotripsy for the treatment of calculi within pelvic ectopic kidney (PEK). PATIENTS AND METHODS: We retrospectively reviewed the medical records of 26 patients with calculi in PEK treated with F-URS in 5 referral hospitals between 2010 and 2013. Patient demographics and stone characteristics (age, sex, body mass index, stone size, location, history of shock wave lithotripsy or kidney surgery), and perioperative measures (duration of operation, fluoroscopic imaging, and hospitalization and success and complication rates) were reviewed. RESULTS: A total of 26 patients with mean age of 41.1 ± 15.8 years (7-72 years) were included in the study. The mean stone size was 17.0 ± 5.1 mm (10-28 mm). The mean procedure and fluoroscopy times were calculated as 52.1 ± 27.7 minutes (30-120 minutes) and 54.8 ± 48.9 seconds (10-180 seconds), respectively. The mean length of hospital stay was 2.7 ± 1.8 days (1-9 days). Treatment was deemed successful in 22 patients (84.6%). Ureteroscopy failed in 4 patients (15.4%) due to impaired passage of fragments (n = 3) or inability to reach the stone secondary to the location in an isolated lower calyx (n = 1). Minor postoperative complications were observed in 5 patients (19.2%; persistent hematuria [n = 1], fever [n = 1], renal colic [n = 2], and urinary tract infection [n = 1]). No severe complications or mortality occurred. CONCLUSION: Our results suggest that F-URS is a safe and effective minimally invasive treatment modality for small- and medium-sized stones in PEK.
OBJECTIVE: To present the outcomes of flexible ureterorenoscopy (F-URS) and laser lithotripsy for the treatment of calculi within pelvic ectopic kidney (PEK). PATIENTS AND METHODS: We retrospectively reviewed the medical records of 26 patients with calculi in PEK treated with F-URS in 5 referral hospitals between 2010 and 2013. Patient demographics and stone characteristics (age, sex, body mass index, stone size, location, history of shock wave lithotripsy or kidney surgery), and perioperative measures (duration of operation, fluoroscopic imaging, and hospitalization and success and complication rates) were reviewed. RESULTS: A total of 26 patients with mean age of 41.1 ± 15.8 years (7-72 years) were included in the study. The mean stone size was 17.0 ± 5.1 mm (10-28 mm). The mean procedure and fluoroscopy times were calculated as 52.1 ± 27.7 minutes (30-120 minutes) and 54.8 ± 48.9 seconds (10-180 seconds), respectively. The mean length of hospital stay was 2.7 ± 1.8 days (1-9 days). Treatment was deemed successful in 22 patients (84.6%). Ureteroscopy failed in 4 patients (15.4%) due to impaired passage of fragments (n = 3) or inability to reach the stone secondary to the location in an isolated lower calyx (n = 1). Minor postoperative complications were observed in 5 patients (19.2%; persistent hematuria [n = 1], fever [n = 1], renal colic [n = 2], and urinary tract infection [n = 1]). No severe complications or mortality occurred. CONCLUSION: Our results suggest that F-URS is a safe and effective minimally invasive treatment modality for small- and medium-sized stones in PEK.
Authors: Lisa Lavan; Thomas Herrmann; Christopher Netsch; Benedikt Becker; Bhaskar K Somani Journal: World J Urol Date: 2019-05-17 Impact factor: 4.226
Authors: María Rodríguez-Monsalve Herrero; Steeve Doizi; Etienne Xavier Keller; Vincent De Coninck; Olivier Traxer Journal: Asian J Urol Date: 2018-06-22