Abstract:
PURPOSE:To evaluate contemporary management approaches to medium-sized (10-20 mm) renal stones. PATIENTS AND METHODS:A total of 935 patients treated for medium-sized renal stones (10-20 mm) between July 2012 and March 2014 were included in the study program. Contemporary minimally invasive approaches applied in the management of such stones were evaluated and compared. RESULTS:The cohort consisted of 561 male (60%) and 374 female (40%) patients. Of the 935 patients with medium-sized renal calculi, 535 (57.2%) were treated with shockwave lithotripsy (SWL), 201 (21.4%) with retrograde intrarenal surgery (RIRS), 110 (11.7%) with minimally invasive percutaneous nephrolithotomy (miniperc), and the remaining 89 (11.7%) patients with micropercutaneous nephrolithotomy (microperc). In the SWL group, stones were located mostly in the pelvis (51%), while in the miniperc and microperc groups, they were located mainly in the lower pole (46%, 53%, respectively). Stone-free rates after a single session were 77.2%, 86.1%, 88.8%, and 83.6% in the SWL, RIRS, microperc, and miniperc groups, respectively. Although no serious complications (above Clavien level III) were noted in any of the groups evaluated, Clavien I to II complications were common in the miniperc group. CONCLUSION: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.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Kiremit MC,Guven S,Sarica K,Ozturk A,Buldu I,Kafkasli A,Balasar M,Istanbulluoglu O,Horuz R,Cetinel CA,Kandemir A,Albayrak Sdoi
10.1089/end.2014.0698subject
Has Abstractpub_date
2015-07-01 00:00:00pages
838-43issue
7eissn
0892-7790issn
1557-900Xjournal_volume
29pub_type
杂志文章,多中心研究abstract:BACKGROUND AND PURPOSE:Renal Fine Needle Aspiration Cytology (FNAC) has gained popularity due to increasing options in management of renal lesions such as energy ablation and active surveillance. The diagnostic yield of renal FNAC varies between 40-90%. We hypothesized that adequate and diagnostic FNA samples would be ...
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,多中心研究
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