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Comparison of retrograde ureterorenoscopy (URS) and percutaneous anterograde ureteroscopy for removal of impacted upper ureteral stones >10mm in the elderly population
Gökce, Mehmet İlker; Akpinar, Çağri; Obaid, Khaled; Süer, Evren; Gülpinar, Ömer; Bedük, Yaşar.
  • Gökce, Mehmet İlker; Ankara University School of Medicine. Department of Urology. Ankara. TR
  • Akpinar, Çağri; Ankara University School of Medicine. Department of Urology. Ankara. TR
  • Obaid, Khaled; Ankara University School of Medicine. Department of Urology. Ankara. TR
  • Süer, Evren; Ankara University School of Medicine. Department of Urology. Ankara. TR
  • Gülpinar, Ömer; Ankara University School of Medicine. Department of Urology. Ankara. TR
  • Bedük, Yaşar; Ankara University School of Medicine. Department of Urology. Ankara. TR
Int. braz. j. urol ; 47(1): 64-70, Jan.-Feb. 2021. tab, graf
Article in English | LILACS-Express | LILACS (Americas) | ID: biblio-1134304
Responsible library: BR1.1
ABSTRACT
ABSTRACT

Purpose:

We aimed to compare the success and complication rates of the anterograde and retrograde Ureterorenoscopy (URS) for impacted upper ureteral stones in patients > 65 years of age. Materials and

Methods:

Data of 146 patients >65 years of age and underwent anterograde URS (n=68) in supine position or retrograde URS (n=78) for upper ureteral impacted stones>10 mm between January 2014 and September 2018 were collected prospectively. The groups were compared for success and complication rates, duration of operation, hospital stay, and ancillary procedures.

Results:

Anterograde and retrograde URS groups were similar for demographic and stone related characteristics. The success rate of the anterograde URS group was significantly higher than the retrograde URS group (97.1% vs. 78.2%, p=0.0007). The complication rates were similar for the two groups (p=0.86). Clavien grade I and II complications were observed in 3 patients in each group. The mean hemoglobin drop was 0.5 g/dL in the anterograde URS group and blood transfusion was not performed in any of the patients. The mean duration of operation was 41.2±12.5 minutes in the mini-PNL group and 59.6±15.1 minutes in the RIRS group and the difference was statistically significant (p=0.02). The median duration of hospitalization was 1 day for both groups.

Conclusions:

Performing anterograde URS in supine position provided better success rates and similar complication rates compared to retrograde URS. Based on these results anterograde URS shall be considered as one of the primary treatment options for management of impacted upper ureteral stones in the elderly population.
Full text: Available Index: LILACS (Americas) Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2021 Type: Article Institution/Affiliation country: Ankara University School of Medicine/TR

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Full text: Available Index: LILACS (Americas) Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2021 Type: Article Institution/Affiliation country: Ankara University School of Medicine/TR