Umut Unal1, Mehmet Eflatun Deniz2, Ferhat Ortoglu1, Ediz Vuruskan1, Hakan Anil3, Adem Altunkol4. 1. Department of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey. 2. Department of Urology, Adana Kozan State Hospital, Ministry of Health, Adana, Turkey. 3. Depertment of Urology, Adana Seyhan State Hospital, Ministry of Health, Adana, Turkey. 4. Department of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey. ademaltunkol@hotmail.com.
Abstract
PURPOSE: This study aimed to compare the results of ultramini percutaneous nephrolithotomy (UMP), shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) in pediatric patients with kidney stones 10-20 mm size. METHODS: The files of 159 pediatric patients (36 RIRS, 39 SWL, 84 UMP) with kidney stones were reviewed retrospectively. Preoperative age, sex, stone size and location were evaluated. The three methods were compared in terms of operation and fluoroscopy duration, complications with the modified Clavien grading system, and stone-free rate (SFR) in the postoperative first month. RESULTS: The stone burdens of the groups were similar (P = 0.102). At the end of the first month, SFR was higher in the RIRS and UMP groups compared to the SWL group (88.9%, 92.9% and 69.2%, respectively, P = 0.002). UMP had higher SFR for lower pole stones than the other two methods (P = 0.042). There was no difference in complications between the three methods (P = 0.758). CONCLUSION: SFR was similar for all three methods in all localizations, apart from lower pole stones. UMP had higher SFR for lower pole stones than the other two methods. There was no difference in terms of complications between the three methods.
PURPOSE: This study aimed to compare the results of ultramini percutaneous nephrolithotomy (UMP), shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) in pediatric patients with kidney stones 10-20 mm size. METHODS: The files of 159 pediatric patients (36 RIRS, 39 SWL, 84 UMP) with kidney stones were reviewed retrospectively. Preoperative age, sex, stone size and location were evaluated. The three methods were compared in terms of operation and fluoroscopy duration, complications with the modified Clavien grading system, and stone-free rate (SFR) in the postoperative first month. RESULTS: The stone burdens of the groups were similar (P = 0.102). At the end of the first month, SFR was higher in the RIRS and UMP groups compared to the SWL group (88.9%, 92.9% and 69.2%, respectively, P = 0.002). UMP had higher SFR for lower pole stones than the other two methods (P = 0.042). There was no difference in complications between the three methods (P = 0.758). CONCLUSION: SFR was similar for all three methods in all localizations, apart from lower pole stones. UMP had higher SFR for lower pole stones than the other two methods. There was no difference in terms of complications between the three methods.
Authors: Mohammed S ElSheemy; Kareem Daw; Enmar Habib; Waseem Aboulela; Hesham Fathy; Ahmed M Shouman; Mohamed El Ghoneimy; Ahmed I Shoukry; Hany A Morsi; Hesham Badawy Journal: Int J Urol Date: 2016-05-13 Impact factor: 3.369
Authors: He Zhang; Tian Yu Hong; Gang Li; Ning Jiang; Chuanyi Hu; Xingang Cui; Chuanmin Chu; Jun Long Zhao Journal: Urol Int Date: 2018-10-23 Impact factor: 2.089