Parapelvic Renal Cyst Treatment with Flexible Ureteroscopy: Single Centre Experience.
Arch Esp Urol
; 77(4): 331-337, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38840274
ABSTRACT
BACKGROUND:
This study aimed to assess the feasibility, safety, and efficacy of an endoscopic parapelvic renal cyst (PRC) incision using flexible ureterorenoscopy (fURS). MATERIAL ANDMETHODS:
We retrospectively reviewed data concerning 16 patients in whom PRC incisions had been performed using fURS between January 2016 and January 2022. Two patients were excluded from the study owing to a lack of follow-up information. The cysts of all the patients were evaluated preoperatively by computed tomography. The patients' age, gender, cyst size, presenting symptoms, postoperative complications, and pre- and post-treatment visual analogue scale (VAS) scores were evaluated. Surgical success was defined as a reduction of more than half of the cyst size in the sixth postoperative month.RESULTS:
A total of 14 patients were included in this study. The patients' mean age was 52.6 ± 8.8 years, and the mean cyst size was 69.1 ± 15.5 mm. Twelve (85.7%) patients presented with flank pain. Clavien-Dindo grade 1 complications were observed in two patients (14.3%), and grade 2 complications were observed in one (7.1%). The median VAS scores were significantly lower after treatment than before in patients who presented with flank pain (2 (1-2.8) vs 8 (7-8), respectively; p = 0.002). Surgical success rate was detected in 11 patients (78.6%) six months after the treatment.CONCLUSIONS:
Endoscopic incision of the PRC is a feasible treatment modality with high success rates and low complication rates. However, multicentre studies with larger populations and longer follow-ups are needed to evaluate the lasting effects.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Feasibility Studies
/
Ureteroscopy
/
Kidney Diseases, Cystic
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Arch Esp Urol
Year:
2024
Document type:
Article
Affiliation country:
Turkey
Country of publication:
Spain