Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy Versus Extracorporeal Shockwave Lithotripsy for Treatment of Lower Pole Renal Stones: A Meta-Analysis and Systematic Review

Abstract

RIRS offers a relative higher SFR while it has a longer operative time. PCNL is associated with the highest SFR at the expense of the longest hospital stay. SWL is performed as an outpatient procedure with a relative shorter operative time; however, it has lower a SFR and higher re-treatment rate. The categories of complications vary while the overall complication rates are comparable among the three treatment techniques.

Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of renal stones greater than 2 cm

“…Similar to the literature results, hospital stay was significantly shorter in the RIRS group compared with the PCNL group (p<0.001). [24,28] The limitations of our study are its retrospective nature, small number of patients included, being a single-center study, and a short follow-up time. Because of the retrospective nature of our study, attention was focused on the diameter of the stone.…”

Super‐mini percutaneous nephrolithotomy (SMP) vs retrograde intrarenal surgery for the treatment of 1–2 cm lower‐pole renal calculi: an international multicentre randomised controlled trial

“…With regards to the hospital stay, a recently published meta‐analysis showed a significantly shorter hospital stay for patients who underwent RIRS when compared with patients who had PNL for the treatment of renal stones . But, in patients who were treated ‘tubeless’ following PNL, the hospital stay was reduced significantly .…”

Should Flexible Ureterorenoscopy be the First-line Treatment Option for Renal Calculi?

“…It was observed that PCNL techniques ensured a significantly higher stone-free rate but also higher complication rates (p < 0.01) and a larger postoperative decrease in hemoglobin levels (p < 0.00001). In contrast, RIRS led to shorter hospital stay (p < 0.0001) (9). A total of 65 patients with a mean age of 4.31 ± 1.99 years (6 months-7 years) have been included in a flexible URS series by Erkurt et al conducted on pre-school children.…”