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

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 Endourol

journal_title

Journal of endourology

authors

Kiremit MC,Guven S,Sarica K,Ozturk A,Buldu I,Kafkasli A,Balasar M,Istanbulluoglu O,Horuz R,Cetinel CA,Kandemir A,Albayrak S

doi

10.1089/end.2014.0698

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

838-43

issue

7

eissn

0892-7790

issn

1557-900X

journal_volume

29

pub_type

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