Does the use of fluoroscopy really affect the success rate of retrograde intrarenal surgery?

Abstract:

INTRODUCTION:Fluoroscopy is used for access sheath insertion and postoperative control during retrograde intrarenal surgery (RIRS) operation but with this technique both patient and operation team are exposed to radiation. The use of fluoroscopy is disadvantage for both patient and surgeon. Considering results of recent studies, it is clearly seen that fluoroscopy doesn't affect the success and complication rates of RIRS. In this study, we aimed to compare the results of both fluoroscopy and fluoroscopy-free groups, to show if there is a significant difference. METHODS:385 patients were included in the study and they were divided into two groups. 284 patients were in Group I where fluoroscopy was used. 101 patients were in Group II and fluoroscopy was not used The success rates of primary operation and final success rates were compared. Data from both groups were evaluated objectively using classification systems and imaging methods. RESULTS:Success rates (primary and final) were higher in Group II, and that can be attributed to experience gained over time. Complication rate was lower and success rate was higher in fluoroscopy-free group. According to multivariate analysis, It is clear that the stone dimension is the foreground of the factors that influence the success, and the effect of the stone location is also observed. CONCLUSION:When considering the comparison of success and complication rates between two groups, it is clearly understood that the use of fluoroscopy has not a positive effect on results. According to the outcomes of our study, fluoroscopy-free RIRS can be performed with safe and high success rates. This outcome also leads an important point for avoiding unnecessary radiation exposure.

journal_name

Arch Esp Urol

authors

Sarikaya S,Senocak C,Selvi I,Ozbek R,Bozkurt OF

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

772-781

issue

9

eissn

0004-0614

issn

1576-8260

journal_volume

71

pub_type

杂志文章
  • [Response to intracavernous administration of 3 different drugs in the same group of patients with erectile dysfunction].

    abstract:OBJECTIVE:To compare the subjective and objective penile rigidity in the same group of patients with erectile dysfunction after intracavernous injection of different vasoactive drugs. METHODS:91 impotent males were randomly assigned to three groups of intracavernous injection: A: 20 micrograms PGE1 B: 30 mg papaverine...

    journal_title:Archivos espanoles de urologia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ribé N,Rajmil O,Bassas L,Jurado C,Pomerol JM

    更新日期:2001-05-01 00:00:00

  • Colpocleisis in vesico-vaginal radiation fistula.

    abstract:OBJECTIVE:To assess Latzko's colpocleisis with bilateral Martius flap as a solution for vesico vaginal fistula secondary to radiotherapy. METHOD:65 year old woman with past medical history of cervix adenocarcinoma treated with hysterectomy, pelvic radiotherapy and brachytherapy. She also had terminal colostomy for re...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Díaz-Casanova B,Kim D,Ramírez F,Marrero R,Martell R,Rapariz M

    更新日期:2011-11-01 00:00:00

  • [The endoscopic section of ureterosigmoid stenosis].

    abstract:OBJECTIVES:Herein we describe the technique of endoscopic incision in the treatment of ureterointestinal stricture. METHODS:A teflon sheathed stent is placed in the stenotic ureterointestinal segment utilizing a combined approach (percutaneous antegrade endoscopic transrectal) and a balloon is passed over the stent re...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Lovaco Castellano F,Fernández González I,García Cuerpo E,Escudero Barrilero A,Gómez Zancajo V,Meroño García E

    更新日期:1995-05-01 00:00:00

  • [Clinical experience and results in the treatment of 4402 patients with solitary urinary calculi with the extracorporeal shock wave lithotripter Dornier MFL-500].

    abstract:OBJECTIVES:To report the series of our Urology Department in the treatment of urinary stone disease with extracorporeal lithotripsy as well as the effectiveness of the Dornier lithotripter MFL-5000. METHODS:6.602 patients were treated by extracorporeal lithotripsy during 12 years with a total of 17.120 sessions. We ex...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Palacios A,Rodrigues F,Soares MJ,Morais A,Mendes A,Pinheiro J

    更新日期:2007-07-01 00:00:00

  • [Pyeloureteral stenosis: its treatment by endopyelotomy].

    abstract::Percutaneous endopyelotomy is becoming widely accepted in the treatment of primary or secondary stenosis of the ureteropelvic junction because it achieves excellent results and is less invasive. Herein we describe our experience with this technique, which we perform with the electric knife and large caliber ureteral s...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Fernández del Busto E,Trueba Arguiñarena FJ,Rivera Ferro J,Reboto Rodríguez AD

    更新日期:1992-05-01 00:00:00

  • [Treatment of urinary incontinence with the artificial sphincter AUS-800. Our experience].

    abstract::The present study reviewed the first 25 incontinence prostheses implanted at the Urology Services of the Ramón y Cajal Hospital. The literature is briefly reviewed and the indications for the AUS-800 incontinence prosthesis are discussed. ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Perales Cabanas L,Romero Maroto J,Fernández Fernández E,Téllez Martínez Fornes M,Jiménez Cidre M,Escudero Barrilero A

    更新日期:1994-05-01 00:00:00

  • Ureterolithotripsy in the management of calcified double-J catheter.

    abstract:OBJECTIVE:The authors present their experience in the management of a rare complication observed during long-term use of a ureteral catheter. The calcification along the entire surface of the catheter followed by incrustation can make its removal by means of cystoscopy difficult, thus becoming a great challenge to the ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Marinelli CM,Pinto MA,Lemos GC,Borrelli M,Wroclawski ER

    更新日期:2002-04-01 00:00:00

  • [Renal colic in a patient with crossed renal ectopia].

    abstract:OBJECTIVES:To report a new case of renal colic in a patient with crossed renal ectopia and L-shaped kidney, and to perform a bibliographic review. METHODS AND RESULTS:A 33-year-old male patient consulted for abdominal right pain. Ultrasound and CT showed a L-Shaped Kidney with left renal and ureteral stones. These sto...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Martínez silva V,Suárez Charneco A,Cruceyra Betriú G,Rosino Sánchez A,Capitán Manjón C,Piedra Lara J,Leiva Galvis O

    更新日期:2003-04-01 00:00:00

  • [Usefulness of CAT in retroperitoneal fibrosis].

    abstract::We report on six patients with with retroperitoneal fibrosis (RPF) who were evaluated preoperatively by CT. Patient scans disclosed a retroperitoneal fibrous layer localized between L4-S2, S3 in four of the six cases (65%). Similarly, varying degrees of uni-or bilateral utero-hydronephrosis were observed in five patie...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Zabala Egurrola JA,Arruza A,Pertusa C,Llarena R,Celio Marín J,Pérez-García A

    更新日期:1989-04-01 00:00:00

  • [Carcinoma and renal schistosomiasis].

    abstract::A case of a patient with renal schistosomiasis and clear cell renal carcinoma involving the same organ is reported herein. To our knowledge, the foregoing association has not been reported in the literature. ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Oro Ortiz J,González Cabrera LA,Rosado Lizano P

    更新日期:1991-01-01 00:00:00

  • Precision medicine in localized bladder cancer: Personalizing therapies to improve outcomes.

    abstract::In the last decades, only few improvements have been made in the comprehension of bladder cancer tumor leading to few improvements in the development of new diagnostic and therapeutic approaches.However, in the last years several step forwards in the field of precision medicine have been made. In this review we focuse...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Carando R,Ludovico GM,Zazzara M,Zamboni S,Afferi L,Simeone C,Krajewski W,Moschini M

    更新日期:2020-12-01 00:00:00

  • [Anatrophic nephrolithotomy: is it really an obsolete procedure?].

    abstract::Since the introduction of extracorporeal shock wave lithotripsy and the various modalities of endoscopic surgery, the number of open procedures for the treatment of urolithiasis has decreased dramatically. The use of these techniques in the management of easier cases leaves no doubt, but there is still some controvers...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: González J

    更新日期:2011-04-01 00:00:00

  • [Mature cystic teratoma of the testis (dermoid cyst). Case report and literature review].

    abstract:SUMMARY OBJECTIVES:Case report of a mature cystic teratoma (dermoid cyst), pseudopilomatrixoma like variant. METHOD:53-year old patient with a left testicular mass, diagnosed as mature cystic teratoma of the testis(dermoid cyst), the pilomatrixoma-like variant, after radical orchiectomy. Tumoral markers were negative ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:10.4321/s0004-06142009000900011

    authors: Garrido Abad P,Herranz Fernández LM,Jiménez Gálvez M,Suárez Fonseca C,Sántos Arrontes D,Nieto Llanos S,Fernández Arjona M

    更新日期:2009-11-01 00:00:00

  • [Metastatic tumors of the penis].

    abstract::The authors present four cases of metastasic penis tumours, two of which followed a prostate carcinoma, one vesical carcinoma and the other a carcinoma of the excretory duct. They make a review of world literature on the subject and study the possible ways of dissemination as well as the clinical picture and different...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Alonso Gorrea M,Guillén Navarro M,Tramoyeres Celma A,Rodríguez Hernández JH,Ferrutxe Frau J,Puig Giró R

    更新日期:1980-03-01 00:00:00

  • [Occult cancer in patients with symptomatic benign prostatic hyperplasia].

    abstract::The results of a prospective study undertaken in 29 patients with symptomatic benign prostatic hyperplasia (BPH) are presented. Transrectal ultrasound, ultrasound-guided biopsy and prostate specific antigen (PSA) were utilized in the search for hidden cancer of the prostate. However, no cancer was detected in any pati...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Rodríguez Duarte C,Aguillón J,Rodríguez H

    更新日期:1991-05-01 00:00:00

  • [Echography, a diagnostic method in testicular abscess].

    abstract::We report on 10 patients who presented with a scrotal mass. The diagnosis of testicular abscess was made on ultrasonographic examination of the scrotal mass. The sensitivity and specificity rates of the foregoing imaging technique were 100%. Furthermore, it permitted determining with precision the extent and degree of...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Granados EA,de la Torre P,Alberola J

    更新日期:1991-07-01 00:00:00

  • [Nephrogenic adenoma: study of 9 cases, including one of the urethra in a 14-year-old male].

    abstract:OBJECTIVES:To review our series of nephrogenic adenoma and compare our results with those reported in the literature. METHOD:The records of our Department of Pathology were reviewed to determine the cases of nephrogenic adenoma diagnosed at our center. The clinical features, diagnostic aspects, pathological findings, ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Grasa Lanau V,Guarch Troyas R,Montesino Semper M,Jiménez Calvo J,Lozano Uruñuela F,de Pablo Cárdenas A,Millán Serrano JA,Santiago González de Garibay AM,Sebastián Borruel JL

    更新日期:1998-03-01 00:00:00

  • [Laparoscopic radical cystectomy and orthotopic urinary diversion in the male patient: technique].

    abstract::Radical cystectomy with extended pelvic lymphadenectomy remains the treatment of choice for muscle invasive bladder cancer and non-metastatic chorion-invasive high grade tumors resistant to treatment with intravesical chemotherapy. During the last decade the procedure has been refined and we have acquired the skills n...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Nuñez-Mora C,Cabrera P,García-Mediero JM,de Fata FR,González J,Angulo J

    更新日期:2011-04-01 00:00:00

  • [Consensus on castration-resistant prostate cancer management in Spain.]

    abstract:OBJECTIVES:To move towards a more standardized approach in clinical practice to manage patients with castration-resistant prostate cancer (CRPC) in Spain. METHODS:A panel of 18 Spanish experts in Urology with expertise managing CRPC followed a modified Delphi process with two rounds and a final face-to-face consensus ...

    journal_title:Archivos espanoles de urologia

    pub_type: 共识发展会议,杂志文章

    doi:

    authors: Alcaraz A,Martínez-Piñeiro L,Rodríguez A,Rubio J,Borque Á,Burgos J,Carballido J,Cózar JM,Crespo I,Esquena S,Gómez-Veiga F,López D,Miñana B,Morote J,Ribal MJ,Solsona E,Suárez JF,Unda M

    更新日期:2017-11-01 00:00:00

  • [Primary signet ring cell adenocarcinoma of the bladder. Report of 2 cases of bladder plastic linitis].

    abstract:OBJECTIVES:Two additional cases of signet-ring cell adenocarcinoma of the urinary bladder, an uncommon highly malignant tumor type, are described. METHODS/RESULTS:The clinical features, histopathological findings and immunohistochemical study are presented. CONCLUSIONS:Both cases previously had cystic glandular cysti...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: González Mínguez C,de Torres Ramírez I,Bosch Princep R,Idoipe Tomás JI

    更新日期:1996-06-01 00:00:00

  • [Quality of life after biochemical recurrence in patients with prostate cancer. How and how long do patients live after biochemical recurrence?].

    abstract::Routine monitoring of PSA in patients with localized prostate cancer radically treated permits to identify those with biochemical recurrence only. Treatment options for biochemical failure include observation, surgery, radiotherapy alone or combined with hormonal therapy, brachytherapy, cryotherapy and hormone therapy...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Caamaño AG,Mateos LL,Fernández EF,Crespo PC,Valladares BT,Higuero PP,Castro AC

    更新日期:2012-01-01 00:00:00

  • The use of the Dornier MPL-9000 lithotripter in the treatment of gallbladder and renal stones. Early experience.

    abstract::The experience of two units (Gastroenterology and Urology) of Clínica La Luz, Madrid, in the treatment of gallbladder and renal lithiasis using the Dornier MPL-9000 lithotripter is reported herein. This lithotriptor has been utilized in the treatment of all cases of gallbladder calculi for which it is indicated and re...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Iglesias JI,Escartín P,Pérez-Castro Ellendt E,Mancebo JM,Massarra J,Calvo C,Avello F

    更新日期:1991-03-01 00:00:00

  • [Papillary and cavitary monohydrate calcium oxalate lithiasis: comparative study of etiological factors].

    abstract:OBJECTIVES:The monohydrate calcium oxalate lithiasis (MCO) is divided in two groups depending on the morphologic-crystal structure: papillary (anchorage point on a renal papilla lesion) and cavity (formed in a cavity with low urodynamic capacity). The minimal differences between urinary biochemistry of MCO makers in co...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:10.4321/s0004-06142006000200005

    authors: Pieras Ayala E,Grases Freixedas F,Costa Bauzá A,Ramis Barceló M,Pizá Reus P,Ozonas Moragues M

    更新日期:2006-03-01 00:00:00

  • [Complications of extracorporeal shockwave lithotripsy].

    abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Fuchs GJ,David RD,Fuchs AM

    更新日期:1989-01-01 00:00:00

  • [Erectile dysfunction after radial prostatectomy. Response to treatment with sildenafil citrate].

    abstract:OBJECTIVES:Erectile dysfunction is one of the sequelae after radical prostatectomy most concerning for the patient, its appearance being influenced by factors such as surgical technique, or patient's age. Thus, around 40% of the patients younger than 70 years and over 90% of the patients older than 70 present with erec...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Cruz Gimeno JL,Martínez-Piñeiro L,Ramón de Fata F,García Mediero JM,de la Peña Barthel J

    更新日期:2003-01-01 00:00:00

  • [Polyorchism: a case report].

    abstract::A case of polyorchism is described and the literature reviewed, highlighting the rarity of this pathological condition. To our knowledge, only 70 cases have been reported in the world literature. Similarly, Nocks' embryological development theory is discussed herein. The present case was diagnosed intraoperatively. No...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章,评审

    doi:

    authors: Lanza P,Scalfari A,Gemelli R,Pirritano D,Catuogno C,Colosimo MT

    更新日期:1991-04-01 00:00:00

  • [Ileal cystoplasty in bladder cancer].

    abstract::We present our experience with bladder substitution in radical surgery for bladder cancer. Ileocapsuloplasty was performed in 40 patients. There were 2 postoperative deaths and 11 patients died from tumor recurrence or progression 2 to 10 years later. Two patients had urothelial tumor recurrence in the capsuloplasty. ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: González Martín M,Sánchez Rodríguez-Losada J,Chantada Abal V,Gómez Veiga F

    更新日期:1992-11-01 00:00:00

  • [Inflammatory bladder pseudotumor].

    abstract:OBJECTIVE:To present a case of inflammatory pseudotumor of the urinary bladder, with special reference to the differential diagnosis. METHODS/RESULTS:A 26-year-old patient with a history of gross hematuria and voiding syndrome underwent partial cystectomy for a bladder tumor. Pathological analysis disclosed an inflamm...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Arocena Lanz F,Hernández Lecuona I,Garmendia Olaizola G,Azparren Etxeberria J,Lobo Ruiz C

    更新日期:1999-05-01 00:00:00

  • [Economic features of active surveillance].

    abstract::In a context where there is evidence that not every patient with low risk prostate cancer needs to be treated from the start, active treatments are expensive and public health care systems need to save money, studies on cost-effectiveness are a priority. To elaborate this article, we reviewed the publications on cost ...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Huguet J,Musquera M,Ribal MJ,Alcaraz A

    更新日期:2014-06-01 00:00:00

  • Laparoscopic approach of primary bladder endometriosis.

    abstract:OBJECTIVE:To report a case of primary bladder endometriosis treated with laparoscopic partial cystectomy. METHODS:We report the case of a 38 year old woman presenting with cyclic catamenial pain and hematuria who was diagnosed of bladder endometriosis by means of cystoscopy and MRI. Partial cystectomy using a laparosc...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Alonso Pacheco L,Ramírez Plaza CP,Blanco Reina F,Rodrigo Olmedo M

    更新日期:2014-07-01 00:00:00