[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique

Objective: To report a technique for ureteroscopic laser lithotripsy (URSL) and retrograde placement of a JJ stent through the ureteroscope working channel without the use of a fluoroscope compared to the conventional technique. Methods: Between June 2015 and December 2017, 170 patients selected for...

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Autores principales:	Hamdy Aboutaleb, Tamer A. Ali, Mohamed Kamal Omar, Maher Gawish
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/7a5759516d8a47518e843d8e3fe355e0
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spelling	oai:doaj.org-article:7a5759516d8a47518e843d8e3fe355e02021-12-02T12:07:16Z[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique2090-598X10.1016/j.aju.2018.10.065https://doaj.org/article/7a5759516d8a47518e843d8e3fe355e02018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301591https://doaj.org/toc/2090-598XObjective: To report a technique for ureteroscopic laser lithotripsy (URSL) and retrograde placement of a JJ stent through the ureteroscope working channel without the use of a fluoroscope compared to the conventional technique. Methods: Between June 2015 and December 2017, 170 patients selected for URSL for the treatment of ureteric stones and JJ-stent insertions were evaluated. Patients were divided into two groups according to the use of fluoroscopy. In Group A (100 patients), a fluoroscope was used and in Group B (70) fluoroscopic guidance was not used. In Group B, URSL was performed first and followed by JJ-stent insertion via the semi-rigid ureteroscope 8.5–11 F under direct vision without fluoroscopy. Results: The stone-free rate was 96% vs 94.3% for groups A and B, respectively. This technique was successful in all the included patients: 166 retrograde JJ stentings after URSL for ureteric calculi and four cases for anuria. Patients in Group A were exposed to radiation for a mean of 26.6 s during the URSL procedure and 4.8 s for JJ stenting. Group B was exposed to a zero dose. For Group A, the stents size was 6 F for 70% of patients, 4.7 F for 15%, and 7 F for 15%. In Group B, stents of 4.7 F and lengths of 24–26 cm were used in all patients. Failure of JJ-stent insertion was 9% (nine patients) in Group A and 18.5% (13 patients) in Group B. Conclusion: This study shows the feasibility and effectiveness of completely fluoroscopy free URSL and JJ stenting for treating ureteric stones.Hamdy AboutalebTamer A. AliMohamed Kamal OmarMaher GawishTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S10- (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 Hamdy Aboutaleb Tamer A. Ali Mohamed Kamal Omar Maher Gawish [18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
description	Objective: To report a technique for ureteroscopic laser lithotripsy (URSL) and retrograde placement of a JJ stent through the ureteroscope working channel without the use of a fluoroscope compared to the conventional technique. Methods: Between June 2015 and December 2017, 170 patients selected for URSL for the treatment of ureteric stones and JJ-stent insertions were evaluated. Patients were divided into two groups according to the use of fluoroscopy. In Group A (100 patients), a fluoroscope was used and in Group B (70) fluoroscopic guidance was not used. In Group B, URSL was performed first and followed by JJ-stent insertion via the semi-rigid ureteroscope 8.5–11 F under direct vision without fluoroscopy. Results: The stone-free rate was 96% vs 94.3% for groups A and B, respectively. This technique was successful in all the included patients: 166 retrograde JJ stentings after URSL for ureteric calculi and four cases for anuria. Patients in Group A were exposed to radiation for a mean of 26.6 s during the URSL procedure and 4.8 s for JJ stenting. Group B was exposed to a zero dose. For Group A, the stents size was 6 F for 70% of patients, 4.7 F for 15%, and 7 F for 15%. In Group B, stents of 4.7 F and lengths of 24–26 cm were used in all patients. Failure of JJ-stent insertion was 9% (nine patients) in Group A and 18.5% (13 patients) in Group B. Conclusion: This study shows the feasibility and effectiveness of completely fluoroscopy free URSL and JJ stenting for treating ureteric stones.
format	article
author	Hamdy Aboutaleb Tamer A. Ali Mohamed Kamal Omar Maher Gawish
author_facet	Hamdy Aboutaleb Tamer A. Ali Mohamed Kamal Omar Maher Gawish
author_sort	Hamdy Aboutaleb
title	[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
title_short	[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
title_full	[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
title_fullStr	[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
title_full_unstemmed	[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique
title_sort	[18] fluoroscopy free jj stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: a novel technique
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/7a5759516d8a47518e843d8e3fe355e0
work_keys_str_mv	AT hamdyaboutaleb 18fluoroscopyfreejjstentplacementthroughureteroscopeworkingchannelafteruncomplicatedureteroscopiclaserlithotripsyanoveltechnique AT tameraali 18fluoroscopyfreejjstentplacementthroughureteroscopeworkingchannelafteruncomplicatedureteroscopiclaserlithotripsyanoveltechnique AT mohamedkamalomar 18fluoroscopyfreejjstentplacementthroughureteroscopeworkingchannelafteruncomplicatedureteroscopiclaserlithotripsyanoveltechnique AT mahergawish 18fluoroscopyfreejjstentplacementthroughureteroscopeworkingchannelafteruncomplicatedureteroscopiclaserlithotripsyanoveltechnique
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[18] Fluoroscopy free JJ stent placement through ureteroscope working channel after uncomplicated ureteroscopic laser lithotripsy: A novel technique

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