Results and complications of retrograde approach (URS/RIRS) in pediatric urolithiasis: A multicentric experience

Ferretti, Stefano; Campobasso, Davide; Bocchialini, Tommaso; Bevilacqua, L.; Bianchi, G.; Pietro, C. Di; Granelli, Pietro; Micali, Salvatore; Rocco, B.; Salsi, P.; Sighinolfi, M.C.; Maestroni, Umberto; Frattini, Antonio

doi:10.1016/s1569-9056(19)33571-7

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“…Surgeons placed a double-J tube and performed TURP surgery, which can reduce the operating time. These approaches improve the efficiency of surgery and achieve good results (14). Based on previous research, we found that if the surgery sequence is adjusted during the period of intracavitary surgery, the current TURP surgery and the ureteral rigid and flexible mirror holmium lasers may have a better effect.…”

Section: Introductionmentioning

confidence: 91%

Combination of transurethral resection of the prostate and flexible and rigid ureteroscopy for benign prostatic hyperplasia and ureteral calculus

He¹,

Liu²,

Dong³

et al. 2021

Transl Androl Urol

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Background: Combination of transurethral resection of the prostate (TURP) and flexible and rigid ureteroscopy (URS/RIRS) is a successful approach for patients with benign prostatic hyperplasia (BPH) and ureteral calculus (UC), and the sequence is URS/RIRS followed by TURP. This research aims to compare TURP followed by URS/RIRS with URS/RIRS followed by TURP in terms of clinical efficiency and safety.Methods: From June 2009 to June 2021, 173 patients with BPH and upper urinary tract stones were recruited through the Harrison International Peace Hospital and were divided into intervention (TURP followed by URS/RIRS) and control groups (URS/RIRS followed by TURP). We collected demographic data, primary outcomes including urinary function, and secondary outcomes including surgical parameters and complications. SPSS 21.0 was used to analyze data.Results: When comparing the surgical parameters, the intervention group showed better results than the control group regarding surgery time and length of hospitalization. When comparing urinary function and complications, there were no differences between the intervention and control groups.Conclusions: Although the intervention of TURP followed by URS/RIRS had similar clinical effects compared with URS/RIRS followed by TURP in the control group; the intervention saves surgery time, and decreases the length of stay and medical costs. It may therefore be a good choice for patients with BPH and UC.

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Section: Introductionmentioning

confidence: 91%