One-stage versus staged ureteroscopy and percutaneous nephrolithotomy for simultaneous ureteral and renal stones
| Autor: | Ahmed M. Atwa, Mohamed Mohamed Elawdy, Diaa-Eldin Taha, Rasha T. Abouelkheir, Ebrahim Elsaeed Abouelenein, Samer El-Halwagy, Ahmed S. El-Hefnawy, Naser El-Tabey, Ahmed R. EL-Nahas, Ahmed M. Shoma |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Current Urology. 16:15-19 |
| ISSN: | 1661-7657 1661-7649 |
| DOI: | 10.1097/cu9.0000000000000087 |
| Popis: | This study is aimed to investigate the outcome of one-stage ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) for simultaneous ureteral and renal stones over 10years at a tertiary urology institute.We retrospectively analyzed the data of patients who were operated on for simultaneous ureteral and renal stones from January 2011 to December 2020. Patients were divided into 2 groups: group A, who underwent one-stage URS and prone PCNL, and group B, who underwent staged procedures. The overall success, complications, operative time, and hospital stays were compared between the 2 groups.Data for 190 patients were reviewed; mean age was 50 ± 13years old, and 146 (77%) were male. The one-stage (A) and staged (B) groups included 102 and 88 patients, respectively. Group A included older patients, with a high The American Society of Anesthesiologists score, while group B included more patients with multiple or staghorn stones. The one-stage group recorded shorter operative time (120 ± 12min vs. 140 ± 16min,PCNL and URS can be performed in one-session for simultaneous ureteral and renal stones, except for multiple renal and staghorn stones. The results are comparable to those of the staged procedure in terms of success rate and complications, with the advantage of a shorter operative time and hospital stay. |
| Databáze: | OpenAIRE |
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