Preliminary, Favorable Experience with Microperc in Kidney and Bladder Stones

Pişkin, Mehmet Mesut; Güven, Selçuk; Kılınç, Mehmet; Arslan, Mehmet; Goger, Emre; Öztürk, Ahmet

doi:10.1089/end.2012.0333

Cited by 34 publications

(32 citation statements)

References 21 publications

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“…The reported SFR with micro-PNL ranges from 85% to 93%, which is similar to RIRS [22, 23]. In a study by Piskin et al, which included 11 patients with a mean stone size of 12.8 mm (7–18), the SFR was 85% [23]. Patients presented in our series could have been treated with miniperc or microperc as well.…”

Section: Discussionsupporting

confidence: 70%

“…With the development of the smaller sheaths, mini-PNL (miniperc) and micro-PNL (microperc) could be performed with the minimal complication rates, and these techniques are used in the treatment of small intrarenal stones [22]. The reported SFR with micro-PNL ranges from 85% to 93%, which is similar to RIRS [22, 23]. In a study by Piskin et al, which included 11 patients with a mean stone size of 12.8 mm (7–18), the SFR was 85% [23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm

Alkan

Ozkanli

Avcı

et al. 2014

Advances in Urology

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Purpose. To evaluate the safety and efficacy of RIRS for the treatment of multiple unilateral intrarenal stones smaller than 20 mm. Methods. Between March 2007 and April 2013, patients with multiple intrarenal stones smaller than 20 mm were treated with RIRS and evaluated retrospectively. Each patient was evaluated for stone number, stone burden (cumulative stone length), operative time, SFRs, and complications. Results. 173 intrarenal stones in 48 patients were included. Mean age, mean number of stones per patient, mean stone burden, and mean operative time were 40.2 ± 10.9 years (23–63), 3.6 ± 3.0 (2–18), 22.2 ± 8.4 mm (12–45), and 60.3 ± 22.0 minutes (30–130), respectively. The overall SFR was 91.7%. SFRs for patients with a stone burden less and greater than 20 mm were 100% (23/23) and 84% (21/25), respectively (χ 2 = 26.022, P < 0.001). Complications occurred in six (12.5%–6/48) patients, including urinary tract infection or high-grade fever >38.5°C in three cases, prolonged hematuria in two cases, and ureteral perforation in one case, all of whom were treated conservatively. No major complications occurred. Conclusions. RIRS is an effective treatment option in patients with multiple unilateral intrarenal stones especially when the total stone burden is less than 20 mm.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm

Alkan

Ozkanli

Avcı

et al. 2014

Advances in Urology

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“…Furthermore, in addition to miniperc and RIRS techniques, a novel option, micropercutaneous nephrolithotomy (microperc), has been introduced to manage renal stones clinically in a less invasive manner (10)(11)(12).…”

mentioning

confidence: 99%

“…In this study, with focus on the contemporary management of medium-sized (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) mm) renal stones, we aimed to evaluate the treatment approaches to these stones in four high-volume departments. The success rates, complications, advantages, and limitations of all available contemporary treatment modalities were evaluated in this retrospective multicenter observational study.…”

mentioning

confidence: 99%

Contemporary Management of Medium-Sized (10–20 mm) Renal Stones: A Retrospective Multicenter Observational Study

Kiremit

Güven

Sarıca

et al. 2015

Journal of Endourology

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Although SWL is the preferred treatment option for patients with medium-sized (10-20 mm) renal stones, endourologic methods also have been found to have a significant role. Relatively lower complication rates along with higher stone-free status observed with the RIRS technique compared with percutaneous approaches have made this method a valuable option in the management of such stones in recent years.

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“…Four cases (4 %) had to convert to MPCNL to complete the procedure. There were a further two cases excluded from one set of final results prior to analysis as they had been converted to MPCNL due to a laser misfiring issue [5]. The haemoglobin drop during the procedure was measured in three of the papers [4•, 6••, 7•].…”

Section: Results Of Systematic Reviewmentioning

confidence: 99%

Outcome-Based Comparison of Percutaneous Procedures for Urinary Lithiasis with Calibre of Instrumentation less than 12Fr

et al. 2015

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Renal stone disease is becoming increasingly prevalent globally. With a rise in stone disease worldwide, there is also a relative increase in the rates of surgical intervention. Technological advances have allowed a move towards minimising the complications rates and length of stay with a reduction in invasiveness and size of instruments. A trend for minimising the percutaneous tract size has been noted in percutaneous nephrolithotomy (PCNL) for renal stones. The management has shifted from open surgery to standard PCNL, mini-PCNL and the latest ultra-mini and micro-PCNL techniques. There is a need to compare outcomes for the ever-advancing technologies, such as the smaller calibre of instruments, to assess risk-benefit in practice. This review looks at outcome-based comparison of percutaneous procedures for urinary lithiasis with instruments <12Fr in size.

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Preliminary, Favorable Experience with Microperc in Kidney and Bladder Stones

Cited by 34 publications

References 21 publications

Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm

Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm

Contemporary Management of Medium-Sized (10–20 mm) Renal Stones: A Retrospective Multicenter Observational Study

Outcome-Based Comparison of Percutaneous Procedures for Urinary Lithiasis with Calibre of Instrumentation less than 12Fr

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