Retrograde versus Antegrade Approach for the Management of Large Proximal Ureteral Stones
Joint Authors
Mykoniatis, Ioannis
Isid, Ayman
Gofrit, Ofer N.
Rosenberg, Shilo
Hidas, Guy
Landau, Ezekiel H.
Pode, Dov
Duvdevani, Mordechai
Sfoungaristos, Stavros
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To evaluate and compare the efficacy and safety of retrograde versus antegrade ureteroscopic lithotripsy for the treatment of large proximal ureteral stones.
Patients and Methods.
We retrospectively analyzed the medical records of patients with proximal ureteral stones >15 mm, treated in our institution from January 2011 to January 2016.
Intraoperative parameters, postoperative outcomes, and complications were recorded and compared between the two techniques.
Results.
Our analysis included 57 patients.
Thirty-four patients (59.6%) underwent retrograde and 23 patients (40.4%) underwent antegrade ureteroscopy.
There was no significant difference in patients’ demographics and stone characteristics between the groups.
Stone-free rate was significantly higher ( p = 0.033 ) in the antegrade group (100%) compared to retrograde one (82.4%).
Fluoroscopy time, procedure duration, and length of hospitalization were significantly ( p < 0.001 ) lower in retrograde approach.
On the other hand, the need for postoperative stenting was significantly lower in the antegrade group ( p < 0.001 ).
No difference was found between the groups ( p = 0.745 ) regarding postoperative complications.
Conclusions.
Antegrade ureteroscopy is an efficient and safe option for the management of large proximal ureteral stones.
It may achieve high stone-free rates compared to retrograde ureteroscopy with the drawback of longer operative time, fluoroscopy time, and length of hospitalization.
American Psychological Association (APA)
Sfoungaristos, Stavros& Mykoniatis, Ioannis& Isid, Ayman& Gofrit, Ofer N.& Rosenberg, Shilo& Hidas, Guy…[et al.]. 2016. Retrograde versus Antegrade Approach for the Management of Large Proximal Ureteral Stones. BioMed Research International،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1098507
Modern Language Association (MLA)
Sfoungaristos, Stavros…[et al.]. Retrograde versus Antegrade Approach for the Management of Large Proximal Ureteral Stones. BioMed Research International No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1098507
American Medical Association (AMA)
Sfoungaristos, Stavros& Mykoniatis, Ioannis& Isid, Ayman& Gofrit, Ofer N.& Rosenberg, Shilo& Hidas, Guy…[et al.]. Retrograde versus Antegrade Approach for the Management of Large Proximal Ureteral Stones. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1098507
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098507