Retrograde Intrarenal Surgery vs Extracorporeal Shock Wave Lithotripsy for Intermediate Size Inferior Pole Calculi: A Prospective Assessment of Objective and Subjective Outcomes

Singh, Bhupendra; Prakash, Jai; Sankhwar, Satya Narayan; Dhakad, Urmila; Sankhwar, Pushp Lata; Goel, Apul; Kumar, Manoj

doi:10.1016/j.urology.2013.12.026

Cited by 62 publications

(50 citation statements)

References 14 publications

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“…[9][10][11] Zargar-Shoshtari et al [12] showed that the main reason for re-consulting to the hospital after ureteroscopy was the pain. Singh et al [13] presented that pain score on postoperative first and second day was significantly higher in patients who underwent RIRS compared to the SWL. But when the international literature is investigated, the associated factors with pain after flexible ureteroscopy still remain unclear.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones

Oğuz

Sahin²,

Şenocak³

et al. 2017

Turkish Journal of Urology

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Objective: We aimed to investigate factors related to early postoperative pain after retrograde intrarenal surgery (RIRS). Material and methods:A prospective data analysis of 250 patients who underwent RIRS due to kidney stones was performed. Postoperative pain was evaluated in all patients by using visual analogue scale (VAS). Patients with severe pain (VAS score ≥7) were separated and included in Group I (n=46). While patients without pain or with insignificant pain were included in Group II (n=204). The impact of patient-related (age, gender, renal anomalies, shock wave lithotripsy history, preoperative hydronephrosis) stone-related (stone number, side, size, location and opacity) and operation-related (preoperative and postoperative ureteral Jstenting, ureteral injury, postoperative bleeding and fever, stone-free rates, size of access sheath, and sheath indwelling time) factors on early stage postoperative pain (if any) were investigated.Results: Female gender increased the risk for pain 3.6-fold (p<0.05). One millimeter increase in stone diameter increased the risk for postoperative pain 1.15-fold. Prolonged sheath time was another important factor which increased the risk for pain (p<0.05). Patients with high residual fragments were also prone to early postoperative pain. Conclusion:According to our results, patient-, stone-and operation-related factors associated with postoperative pain after RIRS were female gender, stone size and sheath time.

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Section: Discussionmentioning

confidence: 99%

Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones

Oğuz

Sahin²,

Şenocak³

et al. 2017

Turkish Journal of Urology

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“…The reasons for exclusion: renal stones >2 cm (n = 8), renal stones 1-3 cm (n = 1), and kidney stones 10 mm or less (n = 1). Finally, seven studies [5][6][7][8][9][10][11] were included in the meta-analysis, three RCT [5][6][7] and four CCT [8][9][10][11], published between 2012 and 2014. The literature screening process has been shown in Fig.…”

Section: Study Descriptionmentioning

confidence: 99%

Extracorporeal shock wave lithotripsy versus retrograde intrarenal surgery for treatment for renal stones 1–2 cm: a meta-analysis

et al. 2015

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This study is to evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) versus retrograde intrarenal surgery (RIRS) for the treatment for renal calculi 1-2 cm. PubMed, Embase, the Cochrane Central Register of Controlled Trials, and the Chinese Biomedical Literature Database were researched and hand-searched for relevant congress abstracts and journals about RIRS and ESWL for the treatment for 1- to 2-cm renal stones. The retrieval time ended in September 2014. The related trials met the inclusion criteria were included in the meta-analysis. Two reviewers independently assessed the quality of all included studies, and meta-analysis was performed with RevMan 5.2. Seven literatures were retrieved, including 983 patients. The meta-analysis results showed that, compared to RIRS group, the patients in ESWL group had the following features:(1) the stone-free rate [relative risk (RR) 0.86; 95% confidence interval (CI) 0.77-0.95, P = 0.005] was significantly different between two groups; (2) The retreatment rate of RIRS group was lower (RR 8.12; 95% CI 4.77-13.83, P < 0.00); (3) The complications were not significantly different between two groups (Grade I RR 1.06; 95% CI 0.67-1.69, P = 0.80; Grade II RR 0.75; 95% CI 0.29-1.91, P = 0.54; Grade III RR 0.86; 95% CI 0.26-2.86, P = 0.80). Compared to ESWL, our results showed that RIRS provided significantly higher stone-free rate and lower retreatment rate and without increase in the incidence of complications. However, further randomized trials are needed to confirm these findings.

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“…On the other hand, Singh et al (22) found that the rate of complete stone-free status was 85.7% for RIRS treatment and 54.3% for ESWL treatment in lower pole stones with sizes between 10 mm and 20 mm and they observed that RIRS was markedly superior. There are other studies that report the superiority of RIRS over ESWL in lower pole stones (23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

Retrograde Intrarenal Surgery

Cebeci¹,

Özkan²,

Kocaarslan³

2015

JAREM

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Urinary stone disease is a common health problem in the community. In the last two decades, percutaneous nephrolithotomy (PNL), extracorporeal shock wave lithotripsy (ESWL), and retrograde intrarenal surgery (RIRS) have become popular as minimally invasive methods. The European Association of Urology 2014 urinary stones guideline recommends PNL as the first line of treatment for kidney stones above 20 mm. ESWL remains the first choice for stones of <1 cm within the renal pelvis and upper or middle calices. For kidney stones between 10 to 20 mm, the location and movement of the stone, stone type, calyx anatomy, and patients status contribute to the choice of treatment. RIRS in combination with holmium YAG laser is effective and safe. Initially, RIRS was offered for was lower calyceal stones, multiple stones, post-ESWL failure, comorbid illnesses, reduction in the diameter of development of surgical experience ureteroscopy, the development of optics providing better visibility, and the diversification of the equipment. At present, RIRS has become an alternative treatment modality to other minimally invasive therapy. It is thought that advances in technology will lead to more flexible instruments and surgical equipment for RIRS therapy. (JAREM 2015; 5: 85-8)

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Retrograde Intrarenal Surgery vs Extracorporeal Shock Wave Lithotripsy for Intermediate Size Inferior Pole Calculi: A Prospective Assessment of Objective and Subjective Outcomes

Cited by 62 publications

References 14 publications

Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones

Factors associated with postoperative pain after retrograde intrarenal surgery for kidney stones

Extracorporeal shock wave lithotripsy versus retrograde intrarenal surgery for treatment for renal stones 1–2 cm: a meta-analysis

Retrograde Intrarenal Surgery

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