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Flexible ureterorenoscopy versus semirigid ureteroscopy for the treatment of proximal ureteral stones a retrospective comparative analysis of 124 patients       
Yazarlar
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye
Aslan Demir
Kafkas Üniversitesi, Türkiye
Kürşat Çeçen
Türkiye
Murat Bağcıoğlu
Kafkas Üniversitesi, Türkiye
Prof. Dr. Ramazan KOCAASLAN Prof. Dr. Ramazan KOCAASLAN
Kafkas Üniversitesi, Türkiye
Altunrende Fatih
Türkiye
Özet
To investigate and compare the stone clearence and complication rates of flexible ureteroscopy (URS) with semirigid URS in patients having proximal ureteral stones. The data of 124 patients with proximal ureteral stones who underwent semirigid or flexible ureterorenoscopic lithotripsy between March 2008 and December 2012 were retrospectively investigated. The patients were divided into 2 groups according to the operation types. Group 1 included 63 patients who were treated with semirigid URS and group 2 was consisted from 61 patients who underwent flexible URS. Each group was compared in terms of stone diameter, successful access to the stone, operation time, reoperation rates, stone free status at postoperative 1st and 3rd month and complications. Successful access was achieved in 48/63 (76%) of the cases in group 1 and 57/61 (93%) of the patients in group 2 (P < .05). Initial stone free status was 63.4% (40/63) and 86.8% (53/61) in groups 1 and 2, respectively (P < .05). Third month radiologic investigations revelaed a stone free rate of 77.7% (49/57) in group 1 and 93.4% (57/61) in group 2 (P < .05). Reoperation was required in 20.6% (13/63) of cases in group 1 and this value was only 6% (4/61) in group 2 (P < .05). There was not any statistically significant difference between 2 groups in terms of complication rates (P > .05). Flexible URS is a favorable option for patients having proximal ureteral stones with higher stone free rate; on the other hand semirigid URS seems a less successful alternative for treatment of proximal ureteral stones.
Anahtar Kelimeler
ureteral calculi | surgery | ureteroscopes | ureteroscopy | lithotripsy | retrospective studies | treatment outcome | complications
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı UROLOGY JOURNAL
Dergi ISSN 1735-1308
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 09-2014
Cilt No 11
Sayı 5
Sayfalar 1867 / 1872
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 22
SCOPUS 23
Google Scholar 54

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