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Flexible Ureteroscopy Can Be More Efficacious in the Treatment of Proximal Ureteral Stones in Select Patients
Joint Authors
Balbay, M. Derya
Başar, M. Murad
Sarıbacak, Ali
Alkan, Erdal
Acar, Oguz
Ozkanli, Oguz
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
We aimed to compare and evaluate the outcomes and complications of two endoscopic treatment procedures, semirigid ureteroscopy (SR-URS) and flexible ureteroscopy (F-URS), in the treatment of proximal ureteral stones (PUS).
Methods.
SR-URS (group 1) was done on 68 patients whereas 64 patients underwent F-URS (group 2) for the treatment of PUS.
Success rate was defined as the absence of stone fragments or presence of asymptomatic insignificant residual fragments < 2 mm.
Outcomes and complications were recorded.
Results.
The differences were statistically not significant in age, gender, body mass index (BMI), and stone characteristics between groups.
Mean ureteral stone size was 9.1 ± 0.4 mm and 8.9 ± 0.5 mm for groups 1 and 2.
Mean operative time was 34.1 ± 1.5 min and 49.4 ± 2.3 min for groups 1 and 2 ( p = 0.001 ).
SFRs were 76.5% and 87.5% for groups 1 and 2 ( p = 0.078 ).
Two major complications (ureteral avulsion and ureteral rupture) occurred in group 1.
Conclusion.
F-URS is safer and less invasive than SR-URS in patients with PUS.
There is no statistically significant difference in the efficacy of either technique.
Nonetheless we recommend F-URS in the management of PUS as a first-line treatment option in select cases of proximal ureteral calculi.
American Psychological Association (APA)
Alkan, Erdal& Sarıbacak, Ali& Ozkanli, Oguz& Başar, M. Murad& Acar, Oguz& Balbay, M. Derya. 2015. Flexible Ureteroscopy Can Be More Efficacious in the Treatment of Proximal Ureteral Stones in Select Patients. Advances in Urology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053987
Modern Language Association (MLA)
Alkan, Erdal…[et al.]. Flexible Ureteroscopy Can Be More Efficacious in the Treatment of Proximal Ureteral Stones in Select Patients. Advances in Urology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1053987
American Medical Association (AMA)
Alkan, Erdal& Sarıbacak, Ali& Ozkanli, Oguz& Başar, M. Murad& Acar, Oguz& Balbay, M. Derya. Flexible Ureteroscopy Can Be More Efficacious in the Treatment of Proximal Ureteral Stones in Select Patients. Advances in Urology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053987
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053987