Abstract:
: Objectives: To compare the efficacy, complications, and costs of percutaneous nephrolithotomy (PNL) and extracorporeal shock wave lithotripsy (SWL) in the treatment of a 20 to 30 mm single renal pelvic stone with a density ≤1000 HU. Patients and Methods: Eighty patients were prospectively randomized to receive either PNL or SWL during May 2017 to April 2019. The relevant demographic and clinical characteristics were compared. Results: The mean age in the PNL and SWL groups was 43.25 ± 15.16 and 44.18 ± 12.08 years, respectively. The mean stone sizes were 25.2 ± 3.9 and 24.6 ± 2.3 mm, respectively. The stone-free rate (SFR) was significantly different after the primary procedures (92.5% vs 37.5%, respectively; p < 0.04), but it was comparable after 3 months (97.5% vs 90%, respectively; p = 0.723), with a higher rate of auxiliary procedures after SWL (p = 0.017). On multivariate analysis, stone density was the only significant variable for the SFR in the SWL group (p = 0.004). Complications occurred in 27.5% and 22.5% of cases, respectively (p = 0.796). The mean costs of SWL (650.23 ± 424.74 United States Dollars [US$]) were significantly lower than those of PNL (1137.65 ± 224.43 US$; p < 0.0001). Conclusions: The SFRs for PNL and SWL were not significantly different after 3 months in the treatment of a 20 to 30 mm single renal pelvic stone with ≤1000 HU, although PNL provided a significantly higher rate after its primary procedure. SWL was significantly less costly, but it mandated a significantly higher number of auxiliary procedures than PNL.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Gadelkareem RA,Abdelsalam YM,Ibraheim MA,Reda A,Sayed MA,El-Azab ASdoi
10.1089/end.2020.0288subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1141-1148issue
11eissn
0892-7790issn
1557-900Xjournal_volume
34pub_type
杂志文章abstract:INTRODUCTION AND OBJECTIVE:Robot-assisted sacral colpopexy (RASC) is a fast growing approach for surgeons treating patients with advanced stage pelvic organ prolapse (POP). Open abdominal sacral colpopexy has been the gold standard for advanced POP but requires longer hospital stays and a much larger incision. The indi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0054
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.586
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Benign ureteral strictures are a potentially difficult problem that typically has been solved by open surgery. However, minimally invasive methods would be preferable. PATIENTS AND METHODS:Three patients with benign ureteral strictures were treated with endoscopic placement of self-expanding permanent indwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790050152186
更新日期:2000-09-01 00:00:00
abstract:: Purpose: To report on the safety, technical results, and oncologic outcomes of computed tomography guided percutaneous microwave ablation of stage cT1b renal cell carcinoma. Materials and Methods: This single-center retrospecti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0382
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:This study was designed to determine the outcome and safety of tubeless percutaneous nephrolithotomy (PCNL) in the treatment of renal calculi. PATIENTS AND METHODS:Between November 2005 and March 2006, 48 patients were randomized to either an 18F Re-entry nephrostomy tube (group 1) or a 6F Double-J stent (grou...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0216
更新日期:2007-09-01 00:00:00
abstract::Renal excursion during breathing is inevitable and is a cause of poor localization during extracorporeal shock-wave lithotripsy (SWL), which in theory might lead to poor treatment results. Eighty-one patients underwent lithotripsy treatment with and without the use of an image enhancement system designed for use with ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1996.10.335
更新日期:1996-08-01 00:00:00
abstract:PURPOSE:To determine whether the overall ureteral flow through an obstructed ureter using the 3F MicroStent™ that uses a novel film occlusion anchoring mechanism is comparable to the flow using a conventional 3F and 4.7F Double-J stent. MATERIALS AND METHODS:An in vitro silicone ureter model and an ex vivo porcine uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0722
更新日期:2011-06-01 00:00:00
abstract:: Introduction: To compare short- and midterm outcomes of the first 55 patients undergoing robot-assisted kidney transplant (RAKT) with patients undergoing open kidney transplant (OKT) during the same period in a tertiary care hospital. Materials and...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0213
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:We determined the effect of an anterior urethropexy (AU) stitch on postoperative urinary continence, irritative urinary symptoms, and sexual function after robotic radical prostatectomy (RP). METHODS:Consecutive patients undergoing robotic RP for prostate cancer were prospectively evaluated. The Expanded Pr...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0413
更新日期:2011-04-01 00:00:00
abstract::One of the most difficult, time-consuming, and at the same time critical steps of laparoscopic pyeloplasty is ureteral spatulation. We describe a reproducible technique that greatly simplifies this surgical step. Using standard laparoscopic scissors, the ureter is partially cut just inferior to the ureteropelvic junct...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0354
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility and safety of two concomitant robot-assisted procedures in the same patient in one anesthesia setting. PATIENTS AND METHODS:Data were reviewed for 15 patients for whom two concomitant robot-assisted surgeries at our center were planned. Preoperative details, port position, intraoper...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0481
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A variety of ureteroscopic irrigation systems are available, ranging from gravity-driven pressure bags to hand-operated pumps. Endoscopic valves maintain a watertight seal during ureteroscopy (URS) while facilitating passage of instruments. The clinical utility and ergonomics of such devices have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0891
更新日期:2015-09-01 00:00:00
abstract:: Purpose: Kidney stone recurrence rates vary between patients. A patient's risk informs the frequency and intensity of preventative interventions. Clinicians routinely use clinical experience to estimate risk. We sought to compare clinician estimated recurrence risk with th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0978
更新日期:2020-11-16 00:00:00
abstract::We describe flexible ureteroscopy-directed retrograde nephrostomy access using a puncture wire to achieve renal access. This is a natural extension of modern retrograde intrarenal surgical techniques and a modernization of the original Lawson technique for retrograde nephrostomy tract creation. In appropriately select...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0160
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:The correct length of a ureteral stent is important in minimizing postplacement discomfort and stent migration. We describe and validate a method to accurately measure the ureteral length. MATERIALS AND METHODS:The ureteral length in 48 patients undergoing ureteral stent placement for urolithiasis was measured...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0041
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:This study aims to provide an overview of type and frequency of musculoskeletal complaints among urologists. In addition, the urologists' knowledge about ergonomic conditions during minimally invasive urology was assessed, and they were asked how they would prefer to gain knowledge about this topic. MATERIALS ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0654
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:To report our experience with congenital inferior vena cava (IVC) anomalies found during laparoscopic retroperitoneal lymph node dissection (LRPLND). PATIENTS AND METHODS:Two men with a mean age of 31.5 years (range 26-37 years) underwent LRPLND because of nonseminomatous germ-cell tumors (NSGCT) between Decem...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0112
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:To assess the safety and efficacy of conversion from pure laparoscopy to hand-assisted laparoscopy to control mild-to-moderate bleeding during renal surgery. PATIENTS AND METHODS:Between August 2006 and August 2008, we performed 94 laparoscopic nephrectomies (44 partial and 50 radical). A total of three radica...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0321
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:To assess application of cystatin C and neutrophil gelatinase-associated lipocalin (NGAL) as biomarkers for renal ischemic injury. We also evaluated the use of allopurinol as a renoprotective agent. A second goal was to assess cystatin C as a biomarker in patients undergoing partial nephrectomy. METHODS:Using ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0198
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Gaining access to the pyelocaliceal system in percutaneous nephrolithotomy (PCNL) is routinely performed using fluoroscopic guidance with the patient in a prone position. We compared ultrasonography-guided access for PCNL with the patient in the flank position with conventional fluoroscopy-guided...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2009.0099
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Repair of ureteral injuries and strictures often necessitates a major reconstructive procedure such as a psoas hitch, Boari flap, renal mobilization, ileal interposition, or autotransplantation. Tissue expanders have been used to elongate nerves and arteries. We examined the effects of acute ur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.245
更新日期:1999-05-01 00:00:00
abstract:PURPOSE:Safe insertion of the first port during laparoscopic surgery has always been problematic, from the early use of the Veress needle to the open Hasson technique. We describe a novel, safe, and well-illuminated technique of port entry using the Killian nasal speculum. This technique has been used successfully in t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0142
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:To assess the "body mass index" (BMI) (weight and length) of 12 flexible ureteroscopes (digital and fiber optic) along with the light cables and camera heads, to make the best use of our instruments. MATERIALS AND METHODS:Twelve different brand-new flexible ureteroscopes from four different manufacturers, al...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0438
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:Excessive bulking force during ureteral access sheath (UAS) placement may induce injury. The sliding friction between surfaces can be reduced with the application of ultrasonic vibration. We investigated the efficacy and safety of an ultrasonic vibration transducing device for reducing the maximal ureteral acce...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0772
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During laparoscopic surgery, scissors are used to cut a variety of tissue, including fibrotic or calcified tissue, sutures, and occasionally tissue containing staples. Disposable scissors may become dull and ineffective. The purpose of this study is to compare the durability and ergonomics of thr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0654
更新日期:2009-08-01 00:00:00
abstract::In a 14-year-old boy with bladder augmentation, Mitrofanoff appendicovesicostomy, Malone antegrade enema stoma, and bladder neck reconstruction, urinary continence was restored by injection of Teflon with a Veress needle and the aid of a 2-mm laparoscopic port. The method has since been used for nine treatments in six...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903765444401
更新日期:2003-05-01 00:00:00
abstract:PURPOSE:The aim of this study is to validate a training model that combines the use of nonbiologic and biologic simulators as well as live porcine animal model in endoscopic retrograde intrarenal surgery (RIRS). MATERIALS AND METHODS:A total of 60 urologists took part in this study, and the activity lasted for 2 days....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0421
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:To determine the composition and the extent of crystalline (and other) encrustation on ureteral catheters inserted under sterile conditions in stone formers, in comparison with catheters of the same type inserted in nonstone formers for the same time but for different clinical reasons. MATERIALS AND METHODS:Fo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.550
更新日期:2004-08-01 00:00:00
abstract::After urinary diversion, access to the distal ureter for either resection or repair, especially in patients with history of infection, extravasation, radiation, or other abdominal surgery, can be hazardous. We report two cases where the endoscopic placement of a coaxial balloon dilating catheter prior to open explorat...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.57
更新日期:1996-02-01 00:00:00
abstract:: Objectives: To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic renal tumors. Materials and Methods: We retrospectively analyzed patients who underwent RAPN for either cystic (n = 46) or solid (n = 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0994
更新日期:2021-01-06 00:00:00