Editorial Comment: Continuous monitoring of intrapelvic pressure during flexible ureteroscopy using a sensor wire: a pilot study

Danilovic, Alexandre

doi:10.1590/s1677-5538.ibju.2021.01.06

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…According to literature reports, tissue damage and cellular death will occur after short exposure of temperature above 40-60ºC. Temperatures above 43ºC could promote the protein denaturation of urothelium and therefore should be avoided ( 25 , 26 ). A longer follow-up study might be necessary to compare the ureteral stenosis between the two groups.…”

Section: Discussionmentioning

confidence: 99%

A study comparing dusting to basketing for renal stones ≤ 2 cm during flexible ureteroscopy

et al. 2023

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Objectives To compare the dusting efficiency and safety with basketing for treating renal stones ≤ 2 cm during flexible ureteroscopy (fURS). Materials and methods This study included 218 patients with renal stones ≤ 2 cm treated with fURS. Among them, 106 patients underwent dusting, and 112 patients underwent fragmentation with basket extraction. All patients were followed up for 3 months postoperatively. The operating time, lasing time, stone-free rate (SFR) and complication rate were compared. Results The mean stone size in the dusting group was 1.3 cm, whereas 1.4 cm in the basketing group. The mean operative time was significantly lower in the dusting group than in the basketing group (43.1±11.7 minutes VS 60.5±13.4 minutes, P <0.05), but the lasing time was significantly longer for the dusting group than for the basketing group (17.7±3.9 minutes VS 14.1±3.6 minutes, P <0.05). SFR was signiﬁcantly higher in the basketing group immediately after the operation and follow-up after 1 month (76.8% vs 55.7%, P= 0.001 and 88.4% vs 78.3%, P = 0.045). However, the SFR was similar for both groups (88.8% in the dusting group vs. 90.2% in the basketing group) after 3 months postoperatively. There was no statistical difference in the complication rates between the two groups. Conclusions Dusting has advantages in shortening the operation time and reducing the operation cost, but the lasing time was longer compared with the basketing. Although there is no difference in long-term effect, basketing is superior to dusting in terms of short-term SFR. Moreover, dusting should be avoided in some special cases and basketing a better choice. Both techniques are effective for the treatment of renal stones ≤ 2 cm and choice depends on patient demographic and stone characteristics.

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Section: Discussionmentioning

confidence: 99%