Our experiences on retrograde intrarenal surgery

Hatipoğlu, Namık Kemal

doi:10.5798/diclemedj.0921.2014.01.0380

“…duration of fluoroscopy and operation were significantly shorter compared to the control group (p < 0.001, p = 0.036 respectively). In two different recent studies about the use of ureteral access sheath, the fluoroscopy time was measured as 39 and 52.72 sec (18,19). This figures demonstrates that the Endovisional technique significantly shortens fluoroscopy time.…”

Section: Discussionmentioning

confidence: 86%

A new approach in ureteral access sheath locating in retrograde intrarenal surgery (RIRS) by endovisional technique

Sönmez

¹

,

Kara

²

2016

Arch Ital Urol Androl

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“…In their study, Hatipoğlu et al applied RIRC to patients with a mean stone size of 15.26 mm and reported a stone-free rate of 87%. The authors found that this rate increased to 91% after the second RIRC (9). Reşorlu et al examined the factors affecting success RIRC in their study with 207 patients and reported that stone size significantly affected the success rate (10).…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of 90 Patients that Underwent Retrograde Intrarenal Surgery

Çift¹,

Benlioğlu²

2020

Van Med J

0

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Objective: To evaluate the results of retrograde intrarenal surgery (RIRC) performed in our clinic in cases with renal stones. Materials and Methods: The results of 90 patients that underwent RIRC between June 2016 and January 2019 were evaluated retrospectively. The demographic data and the preoperative and postoperative clinical characteristics of the patients were examined. Results: The mean age of 90 patients that underwent RIRC (41 men/49 women) was 43.35 (21-84) years, and the mean stone size was 16.22 (10-28) mm. The operation was performed under general anesthesia in 38 patients (42.22%) and spinal anesthesia in 52 (57.78%). The mean operation duration was 61.76 (30-115) min, and the mean stone fragmentation time was 48.33 (15-95) min. In 23 patients (25.55%), a double-J stent was inserted into the ureter since the kidney could not be reached due to stenosis. In 75 patients (83.33%), a double-J stent was placed at the end of the operation. The mean hospital stay was 1.08 (1-3) days. The stone-free rate was 71.12%. Of the cases with residual stones, 21 (23.32%) underwent an additional intervention and five (5.55%) were followed up without further intervention. Complications were observed in 13 patients (14.44%) and evaluated according to the modified Clavien classification. Conclusion: In the presence of adequate equipment and experience, RIRC is an effective and safe procedure with high success, low complication and minimal morbidity rates in the treatment of renal stones.

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“…14,15 Besides, RIRS is the standard treatment method in a group of patients having some special conditions such as anticoagulant use, obesity, musculoskeletal deformity, concomitant ureteropelvic stenosis, ESWL-resistant stones, and renal anomalies. 16 The 2016 European Association of Urology guidelines on urolithiasis state, "Most interventions are performed under GA, although local or spinal anesthesia is possible." This was a big challenge as no specific indications on the gold standard have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 Besides, RIRS is the standard treatment method in a group of patients having some special conditions such as anticoagulant use, obesity, musculoskeletal deformity, concomitant ureteropelvic stenosis, ESWL-resistant stones, and renal anomalies. 16…”

Section: Discussionmentioning

confidence: 99%