Single-session ureteroscopic pneumatic lithotripsy for the management of bilateral ureteric stones
Int. braz. j. urol
; 38(1): 63-68, Jan.-Feb. 2012. tab
Article
em En
| LILACS
| ID: lil-623316
Biblioteca responsável:
BR1.1
ABSTRACT
PURPOSE:
In nowadays there is no consensus on single-session ureteroscopic lithotripsy (URSL) for the management of bilateral ureteric stones. The aim of this study was to evaluate efficacy and safety of single-session URSL in patients with bilateral ureteric stones. MATERIALS ANDMETHODS:
41 patients who have undergone bilateral single-session URSL were evaluted in this study. A 8/9.8 Fr Wolf semi-rigid ureteroscope was used for the procedures, and the stones were fragmented with pneumatic lithotripter.RESULTS:
A high stone-free rate was achieved (90.2%) after single endoscopic procedure with a retreatment rate of 9.8%. The procedure was most successful for distal ureteric stones with a 96.2% stone-free rate followed by middle ureteric stones with a 81.8% stone-free rate while the least success was achieved for proximal ureteric stones with a 77.7% stone-free rate (p < 0.05). A greater stone-free rate was obtained in those with stones less than 10 mm (93.7%) than in those with stones larger than 10 mm (77.7%) (p < 0.05). Ureteral perforation occurred in only one patient (2.4 %). No long-term complication was observed in any patient.CONCLUSIONS:
Bilateral single-session URSL can be performed effectively and safely with a low complication rate in patients with bilateral ureteric stones. It can reduce the need of anaesthetics and hospital stay.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Complicações Pós-Operatórias
/
Ureter
/
Litotripsia
/
Cálculos Ureterais
/
Ureteroscopia
Tipo de estudo:
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int. braz. j. urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2012
Tipo de documento:
Article