[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm

Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) as a treatment modality for renal calyceal stones measuring 1–2 cm. Methods: Between July 2015 and January 2017, 78 patients (60 males and 18 females) ranging in age between 22 and 60 years, diagnosed as having a...

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Autores principales:	Tamer Abouelgreed, Mohamed Abdelaal, Moamen Amin
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/47ab734138d547bf86457bcb4b31d4e1
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spelling	oai:doaj.org-article:47ab734138d547bf86457bcb4b31d4e12021-12-02T10:11:40Z[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm2090-598X10.1016/j.aju.2018.10.075https://doaj.org/article/47ab734138d547bf86457bcb4b31d4e12018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301694https://doaj.org/toc/2090-598XObjective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) as a treatment modality for renal calyceal stones measuring 1–2 cm. Methods: Between July 2015 and January 2017, 78 patients (60 males and 18 females) ranging in age between 22 and 60 years, diagnosed as having a solitary, unilateral renal stone of 1–2 cm were included in this study and underwent RIRS. Patients were classified into three groups according to their stone location; Group I [27 (34.6%) patients] with upper calyceal stones, Group II [26 (33.4%) patients] with middle calyceal stones, and Group III [25 (32%) patients] with lower calyceal stones. All patients were evaluated preoperatively by complete history, clinical examination, laboratory and radiological investigations. All patients were treated with RIRS and evaluated postoperatively for stone-free rate (SFR), operative time, hospital stay, and complications. Results: The overall SFR in our study was 84.6% (66 patients). It was 88.9%, 84.6% and 80% for groups I, II and III, respectively. Residual stones of >4 mm were identified in three (11.1%), four (15.4%) and five (20%) patients in groups I, II and III, respectively. Postoperative complications occurred in four (5.13%) patients, including two with postoperative fever (one each in groups II and III) and another two with postoperative haematuria (one each in groups I and III). All of these complications were treated conservatively. Conclusion: RIRS is a promising, safe and effective modality of treatment for calyceal stones measuring 1–2 cm with minimal complications and should be considered the treatment of choice when extracorporeal shockwave lithotripsy is contraindicated in such cases.Tamer AbouelgreedMohamed AbdelaalMoamen AminTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S14- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Tamer Abouelgreed Mohamed Abdelaal Moamen Amin [28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
description	Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) as a treatment modality for renal calyceal stones measuring 1–2 cm. Methods: Between July 2015 and January 2017, 78 patients (60 males and 18 females) ranging in age between 22 and 60 years, diagnosed as having a solitary, unilateral renal stone of 1–2 cm were included in this study and underwent RIRS. Patients were classified into three groups according to their stone location; Group I [27 (34.6%) patients] with upper calyceal stones, Group II [26 (33.4%) patients] with middle calyceal stones, and Group III [25 (32%) patients] with lower calyceal stones. All patients were evaluated preoperatively by complete history, clinical examination, laboratory and radiological investigations. All patients were treated with RIRS and evaluated postoperatively for stone-free rate (SFR), operative time, hospital stay, and complications. Results: The overall SFR in our study was 84.6% (66 patients). It was 88.9%, 84.6% and 80% for groups I, II and III, respectively. Residual stones of >4 mm were identified in three (11.1%), four (15.4%) and five (20%) patients in groups I, II and III, respectively. Postoperative complications occurred in four (5.13%) patients, including two with postoperative fever (one each in groups II and III) and another two with postoperative haematuria (one each in groups I and III). All of these complications were treated conservatively. Conclusion: RIRS is a promising, safe and effective modality of treatment for calyceal stones measuring 1–2 cm with minimal complications and should be considered the treatment of choice when extracorporeal shockwave lithotripsy is contraindicated in such cases.
format	article
author	Tamer Abouelgreed Mohamed Abdelaal Moamen Amin
author_facet	Tamer Abouelgreed Mohamed Abdelaal Moamen Amin
author_sort	Tamer Abouelgreed
title	[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
title_short	[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
title_full	[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
title_fullStr	[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
title_full_unstemmed	[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
title_sort	[28] retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/47ab734138d547bf86457bcb4b31d4e1
work_keys_str_mv	AT tamerabouelgreed 28retrogradeintrarenalsurgeryasatreatmentmodalityforunilateralrenalcalycealstonesof12cm AT mohamedabdelaal 28retrogradeintrarenalsurgeryasatreatmentmodalityforunilateralrenalcalycealstonesof12cm AT moamenamin 28retrogradeintrarenalsurgeryasatreatmentmodalityforunilateralrenalcalycealstonesof12cm
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[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm

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[28] Retrograde intra-renal surgery as a treatment modality for unilateral renal calyceal stones of 1–2 cm