One-session bilateral ureteroscopy: Is it safe in selected patients?

Abstract

The aim of this study was to investigate the possibility to perform bilateral ureteroscopy in one session and to determine the procedure's indications and complication rate. Twenty-two patients underwent bilateral ureteroscopy in one session. Eighteen patients had bilateral lithiasis of the lower ureteral third, three patients had unexplained haematuria and one had unexplained bilateral hydronephrosis. The rigid ureteroscope was used in cases with stones and the flexible one in cases with haematuria and hydronephrosis. Ureteral catheters were placed in all patients. The overall stone-free rate was 83.3%. The procedure failed to confirm a diagnosis in 2 patients with unexplained haematuria. Follow-up included IVU and retrograde cystogram 3 months after the procedure and a renal scan one year later. No major complication was observed. It is concluded that bilateral ureteroscopy in one session can be performed safely in selected patients. The method does not yield major complications and saves patients from a second procedure and a second anaesthesia.

Is Bilateral Ureterorenoscopy the First Choice for the Treatment of Bilateral Ureteral Stones? An Updated Study

“…No major complications were observed. Our complication rate of 12.9% is comparable with other studies that reported bilateral single-session URS for bilateral stones [5,25,26]. To achieve successful results with low complication rates, good visibility and careful advancement of the ureterorenoscope in the ureter are necessary.…”

“…They concluded that the risk is proportional to the number of renal units treated. Deliveliotis et al [26] reported that one session of bilateral URS can be performed safely with a stone-free rate of 83.3%. Camilleri et al [5] found an 81% success rate, which was directly related to stone burden and location.…”

Single-session ureteroscopic pneumatic lithotripsy for the management of bilateral ureteric stones

“…no major complication was observed. They reported that bilateral ureteroscopy in one session can be performed safely in selected patients (1). In contrast, Hollenbeck et al reported that bilateral ureteroscopy carries out an increased risk of postoperative morbidity.…”

“…With the recent development of small-caliber ureteroscopes and with the advances in intracorporeal lithotripsy devices, it is now possible to perform bilateral single-session URSL in adults, and ureteric stones may be fragmented successfully. The procedure may reduce costs and the need for a second anesthetic procedure (1,2). There are few reports in the literature about single-session URSL for the management of bilateral ureteral stones.…”

“…There are few reports in the literature about single-session URSL for the management of bilateral ureteral stones. Deliveliotis et al reported that bilateral ureteroscopy in single-session can be performed safely in selected patients (1). Günlüsoy et al reported that bilateral single-session pneumatic lithotripsy can be performed safely and has high success rates with minimal morbidity and short hospital stay (2).…”