Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones

Objective: To describe our experience and results of using the MicroPerc™ micropercutaneous nephrolithotomy armamentarium (PolyDiagnost, Germany) for unusual indications unexplored using this modality. Patients and methods: We used the MicroPerc™ system for stone clearance in three ureteric calculi,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Arvind P. Ganpule, Jaspreet Singh Chhabra, S.B. Sudharsan, Ankush Jairath, Mohankumar Vijaykumar, Ravindra Sabnis, Mahesh R. Desai
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Micropercutaneous nephrolithotomy (microperc) VUR Posterior urethral valve (PUV) Calculi Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/2ad1162166c24c67a97783a04ca73a57
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2ad1162166c24c67a97783a04ca73a57
record_format	dspace
spelling	oai:doaj.org-article:2ad1162166c24c67a97783a04ca73a572021-12-02T11:57:14ZExtending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones2090-598X10.1016/j.aju.2016.11.003https://doaj.org/article/2ad1162166c24c67a97783a04ca73a572017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X16300997https://doaj.org/toc/2090-598XObjective: To describe our experience and results of using the MicroPerc™ micropercutaneous nephrolithotomy armamentarium (PolyDiagnost, Germany) for unusual indications unexplored using this modality. Patients and methods: We used the MicroPerc™ system for stone clearance in three ureteric calculi, two bladder calculi, one case of urethral calculus, for antegrade biopsy in a case of upper tract urothelial carcinoma, for Deflux® (dextranomer/hyaluronic copolymer, Salix Pharmaceuticals, Uppsala, Sweden) injection in three cases of vesico-ureteric reflux (VUR), and three cases of posterior urethral valve (PUV) fulgurations. A 4.85-F ‘All-Seeing Needle®’ (PolyDiagnost) was used in most of the cases. An 8-F mini-micro sheath was used where stability was deemed necessary. Clinical data were collected in a dedicated database. Intraoperative variables, postoperative complications, and outcomes were assessed. Results: All patients were successfully treated with complete stone clearance at 1 month with no residual fragments. The antegrade biopsy confirmed a high-grade papillary neoplasm. There were no technical difficulties with injection of Deflux or PUV fulgurations. Follow-up at 1 year revealed no stone recurrence, resolved reflux in all three cases, and all the children that had had PUVs were voiding well. The small sample and retrospective nature of the analysis are the limitations of this study. Conclusion: MicroPerc™, besides its usual use for minimally invasive percutaneous nephrolithotomy, can also be feasibly used for ureteric, bladder and urethral stones, and for treating non-calculus diseases such as PUVs and VUR. True to its name, it may be an ‘All-Seeing Needle’ in reality with much more to offer and harvest from.Arvind P. GanpuleJaspreet Singh ChhabraS.B. SudharsanAnkush JairathMohankumar VijaykumarRavindra SabnisMahesh R. DesaiTaylor & Francis GrouparticleMicropercutaneous nephrolithotomy (microperc)VURPosterior urethral valve (PUV)CalculiDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 17-23 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Micropercutaneous nephrolithotomy (microperc) VUR Posterior urethral valve (PUV) Calculi Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Micropercutaneous nephrolithotomy (microperc) VUR Posterior urethral valve (PUV) Calculi Diseases of the genitourinary system. Urology RC870-923 Arvind P. Ganpule Jaspreet Singh Chhabra S.B. Sudharsan Ankush Jairath Mohankumar Vijaykumar Ravindra Sabnis Mahesh R. Desai Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
description	Objective: To describe our experience and results of using the MicroPerc™ micropercutaneous nephrolithotomy armamentarium (PolyDiagnost, Germany) for unusual indications unexplored using this modality. Patients and methods: We used the MicroPerc™ system for stone clearance in three ureteric calculi, two bladder calculi, one case of urethral calculus, for antegrade biopsy in a case of upper tract urothelial carcinoma, for Deflux® (dextranomer/hyaluronic copolymer, Salix Pharmaceuticals, Uppsala, Sweden) injection in three cases of vesico-ureteric reflux (VUR), and three cases of posterior urethral valve (PUV) fulgurations. A 4.85-F ‘All-Seeing Needle®’ (PolyDiagnost) was used in most of the cases. An 8-F mini-micro sheath was used where stability was deemed necessary. Clinical data were collected in a dedicated database. Intraoperative variables, postoperative complications, and outcomes were assessed. Results: All patients were successfully treated with complete stone clearance at 1 month with no residual fragments. The antegrade biopsy confirmed a high-grade papillary neoplasm. There were no technical difficulties with injection of Deflux or PUV fulgurations. Follow-up at 1 year revealed no stone recurrence, resolved reflux in all three cases, and all the children that had had PUVs were voiding well. The small sample and retrospective nature of the analysis are the limitations of this study. Conclusion: MicroPerc™, besides its usual use for minimally invasive percutaneous nephrolithotomy, can also be feasibly used for ureteric, bladder and urethral stones, and for treating non-calculus diseases such as PUVs and VUR. True to its name, it may be an ‘All-Seeing Needle’ in reality with much more to offer and harvest from.
format	article
author	Arvind P. Ganpule Jaspreet Singh Chhabra S.B. Sudharsan Ankush Jairath Mohankumar Vijaykumar Ravindra Sabnis Mahesh R. Desai
author_facet	Arvind P. Ganpule Jaspreet Singh Chhabra S.B. Sudharsan Ankush Jairath Mohankumar Vijaykumar Ravindra Sabnis Mahesh R. Desai
author_sort	Arvind P. Ganpule
title	Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
title_short	Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
title_full	Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
title_fullStr	Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
title_full_unstemmed	Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
title_sort	extending indications of micropercutaneous nephrolithotomy: it is not just about cracking stones
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/2ad1162166c24c67a97783a04ca73a57
work_keys_str_mv	AT arvindpganpule extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT jaspreetsinghchhabra extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT sbsudharsan extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT ankushjairath extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT mohankumarvijaykumar extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT ravindrasabnis extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones AT maheshrdesai extendingindicationsofmicropercutaneousnephrolithotomyitisnotjustaboutcrackingstones
_version_	1718394797291470848

Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones

Ejemplares similares