Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease

Objectives: To assess treatment effectiveness and safety of bilateral same-session ureterorenoscopy (BSSU) for the management of stone disease involving the entire urinary system. Patients and methods: We reviewed the records of 64 patients who underwent BSSU for the treatment of bilateral ureteric...

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Autores principales:	Bora Ãzveren, Murat Tugrul Eren, Hakan Ãzveri, UÄur AltuÄ, Ahmet Åahin
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/018d76c29a124d2292ffd935d3be6bab
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spelling	oai:doaj.org-article:018d76c29a124d2292ffd935d3be6bab2021-12-02T10:15:12ZBilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease2090-598X10.1016/j.aju.2017.09.001https://doaj.org/article/018d76c29a124d2292ffd935d3be6bab2017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17301006https://doaj.org/toc/2090-598XObjectives: To assess treatment effectiveness and safety of bilateral same-session ureterorenoscopy (BSSU) for the management of stone disease involving the entire urinary system. Patients and methods: We reviewed the records of 64 patients who underwent BSSU for the treatment of bilateral ureteric and/or kidney stones. Size, number, location per side, and the total burden of stones were recorded. Data on stenting, lithotripsy, and stone retrieval, and details of hospital stay and operation times were investigated. Treatment results were assessed using intraoperative findings and postoperative imaging. The outcome was considered successful in patients who were completely stone-free or who had only residual fragments of â¤2â¯mm. Results: The outcome was successful in 82.8% of the patients who received BSSU (54.7% stone-free and 28.1% insignificant residual fragments). The success rate per renal unit was 89.8%. There were no adverse events in 73.4% of the patients. The most common intraoperative complication was mucosal injury (36%). The complications were ClavienâDindo Grade I in 9.4% and Grade II in 7.8%. Grade IIIa and IIIb (9.4%) complications required re-treatments. Statistical evaluation showed no association between complication grades and stone, patient, or operation features. Stone burden had no negative impact on BSSU results. The presence of impacted proximal ureteric stones was significantly related to unsuccessful outcomes. Conclusion: BSSU is safe and effective for the management of bilateral urolithiasis. BSSU can prevent recurrent surgeries, reduce overall hospital stay, and achieve a stone-free status and complication rates that are comparable to those of unilateral or staged bilateral procedures. Keywords: Ureteroscopy, Bilateral, Kidney stones, ureter stones, Flexible ureterorenoscopy, Treatment outcomesBora ÃzverenMurat Tugrul ErenHakan ÃzveriUÄur AltuÄAhmet ÅahinTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 4, Pp 299-305 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Bora Ãzveren Murat Tugrul Eren Hakan Ãzveri UÄur AltuÄ Ahmet Åahin Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
description	Objectives: To assess treatment effectiveness and safety of bilateral same-session ureterorenoscopy (BSSU) for the management of stone disease involving the entire urinary system. Patients and methods: We reviewed the records of 64 patients who underwent BSSU for the treatment of bilateral ureteric and/or kidney stones. Size, number, location per side, and the total burden of stones were recorded. Data on stenting, lithotripsy, and stone retrieval, and details of hospital stay and operation times were investigated. Treatment results were assessed using intraoperative findings and postoperative imaging. The outcome was considered successful in patients who were completely stone-free or who had only residual fragments of â¤2â¯mm. Results: The outcome was successful in 82.8% of the patients who received BSSU (54.7% stone-free and 28.1% insignificant residual fragments). The success rate per renal unit was 89.8%. There were no adverse events in 73.4% of the patients. The most common intraoperative complication was mucosal injury (36%). The complications were ClavienâDindo Grade I in 9.4% and Grade II in 7.8%. Grade IIIa and IIIb (9.4%) complications required re-treatments. Statistical evaluation showed no association between complication grades and stone, patient, or operation features. Stone burden had no negative impact on BSSU results. The presence of impacted proximal ureteric stones was significantly related to unsuccessful outcomes. Conclusion: BSSU is safe and effective for the management of bilateral urolithiasis. BSSU can prevent recurrent surgeries, reduce overall hospital stay, and achieve a stone-free status and complication rates that are comparable to those of unilateral or staged bilateral procedures. Keywords: Ureteroscopy, Bilateral, Kidney stones, ureter stones, Flexible ureterorenoscopy, Treatment outcomes
format	article
author	Bora Ãzveren Murat Tugrul Eren Hakan Ãzveri UÄur AltuÄ Ahmet Åahin
author_facet	Bora Ãzveren Murat Tugrul Eren Hakan Ãzveri UÄur AltuÄ Ahmet Åahin
author_sort	Bora Ãzveren
title	Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
title_short	Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
title_full	Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
title_fullStr	Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
title_full_unstemmed	Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease
title_sort	bilateral same-session ureterorenoscopy: a feasible approach to treat pan-urinary stone disease
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/018d76c29a124d2292ffd935d3be6bab
work_keys_str_mv	AT boraazveren bilateralsamesessionureterorenoscopyafeasibleapproachtotreatpanurinarystonedisease AT murattugruleren bilateralsamesessionureterorenoscopyafeasibleapproachtotreatpanurinarystonedisease AT hakanazveri bilateralsamesessionureterorenoscopyafeasibleapproachtotreatpanurinarystonedisease AT uauraltua bilateralsamesessionureterorenoscopyafeasibleapproachtotreatpanurinarystonedisease AT ahmetaahin bilateralsamesessionureterorenoscopyafeasibleapproachtotreatpanurinarystonedisease
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Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease

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