Where is it logical to break-up a ureter stone with endoscopic surgery?

Mehmet CANİKLİOĞLU; Volkan SELMİ; Sercan SARI; Ünal ÖZTEKİN; Emin GÜRTAN; Levent IŞIKAY

doi:https://doi.org/10.28982/josam.958608

Makale detayları

Where is it logical to break-up a ureter stone with endoscopic surgery?

Yazarlar:

Mehmet CANİKLİOĞLU | Volkan SELMİ | Sercan SARI | Ünal ÖZTEKİN | Emin GÜRTAN | Levent IŞIKAY

Yayıncı:

Fatih BAŞAK

Ana Başlıklar:

Hastalıklar

Dergi:

Journal of Surgery and Medicine 2021 Vol.5 Issue 9, pp.853-856

Belge Tipi:

Makale

Yayın Tarihi:

8/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000498480

Sıklık:

Aylık

eISSN:

2602-2079

DOI:

https://doi.org/10.28982/josam.958608

Özet:

 

Background/Aim: Today, we have the technology to break up a ureter stone in the ureter, as well as in the renal pelvis, with ureterorenoscopic procedures. In the past, when this option was not available, the surgeons improved several techniques and antiretropulsion devices to let the stone migrate through the renal pelvis. This study was conducted to clarify whether it is more advantageous to dust a stone in the ureter where it is impacted or in a wider area such as the renal pelvis. 
Methods: The data of 134 patients who underwent semirigid ureterorenoscopy (srURS) due to single and primary upper ureteral stones were included and analyzed in this retrospective cohort study. The patients were divided into two groups according to the development of spontaneous push-up during surgery (Group 1: The non-push-up group, Group 2: The push-up group).
Results: While hemoglobin levels lowered significantly in both groups after the surgery, creatinine levels increased (P0.05). Operation times were similar in both groups, in contrast with the literature. Stone-free rates were significantly higher in srURS than in intrarenal surgery (RIRS) (P=0.03). Complication rates were also similar in this study.
Conclusion: The application of srURS after fixing an upper ureter stone at its location using a Stone Cone® results in higher stone-free rates than pushing it back to dust it in renal pelvis. We recommend srURS supported by an antiretropulsion method as a treatment for upper ureteral stones.

Makale detayları

Where is it logical to break-up a ureter stone with endoscopic surgery?

Yazarlar: Mehmet CANİKLİOĞLU | Volkan SELMİ | Sercan SARI | Ünal ÖZTEKİN | Emin GÜRTAN | Levent IŞIKAY

Yayıncı: Fatih BAŞAK

Ana Başlıklar: Hastalıklar

Dergi: Journal of Surgery and Medicine 2021 Vol.5 Issue 9, pp.853-856

Belge Tipi: Makale

Yayın Tarihi: 8/2021

Belge Dili: İngilizce

Document ID (Org No.): 2000498480

Sıklık: Aylık

eISSN: 2602-2079

DOI: https://doi.org/10.28982/josam.958608

Sayı

Yazarlar:

Mehmet CANİKLİOĞLU | Volkan SELMİ | Sercan SARI | Ünal ÖZTEKİN | Emin GÜRTAN | Levent IŞIKAY

Yayıncı:

Fatih BAŞAK

Ana Başlıklar:

Hastalıklar

Dergi:

Journal of Surgery and Medicine 2021 Vol.5 Issue 9, pp.853-856

Belge Tipi:

Makale

Yayın Tarihi:

8/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000498480

Sıklık:

Aylık

eISSN:

2602-2079

DOI:

https://doi.org/10.28982/josam.958608