Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis
Objective:To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones.Materials and Methods:Between 2012 and 2018, patient data was reviewed retrospectively and 1700 procedures were taken into consideration. F...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2020-09-01
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| Series: | Journal of Urological Surgery |
| Subjects: | |
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http://jurolsurgery.org/archives/archive-detail/article-preview/kidney-stone-treatment-in-the-anomalous-kidney-wit/40002
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| _version_ | 1828023552413007872 |
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| author | Sercan Sarı Mehmet Çağlar Çakıcı Aykut Aykaç Özer Baran İbrahim Güven Kartal Hakkı Uğur Özok Ahmet Nihat Karakoyunlu Azmi Levent Sağnak |
| author_facet | Sercan Sarı Mehmet Çağlar Çakıcı Aykut Aykaç Özer Baran İbrahim Güven Kartal Hakkı Uğur Özok Ahmet Nihat Karakoyunlu Azmi Levent Sağnak |
| author_sort | Sercan Sarı |
| collection | DOAJ |
| description | Objective:To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones.Materials and Methods:Between 2012 and 2018, patient data was reviewed retrospectively and 1700 procedures were taken into consideration. Forty-seven anomalous kidney stones were included in the study (group A). In these patients, 18 had calyx diverticulum, 12 had horseshoe kidney, 8 had ureteral duplication, 2 had ectopic kidneys, 1 had malrotation, and 1 had bifid pelvis. After making a matched pair analysis, 47 normal kidney stones with similar demographic and stone characteristics were included in our study (group N). Demographic, stone, intraoperative and postoperative data were recorded. We compared these groups regarding efficiency and safety.Results:Average scope time, hospitalization time, and postoperative double J-stent rate were higher in group A. The difference was statistically insignificant (p>0.05). Ureteral access sheath usage was higher in group N, though the difference was statistically insignificant (p=0.63). Stone-free rates and success rates were higher in group N though the difference was not statistically significant (p>0.05). The rate of complications was statistically significantly higher in group A (p=0.02).Conclusion:RIRS can be used in the management of anomalous kidney stones. It is an efficient and safe method. Prospective and larger patient numbered studies are needed. |
| first_indexed | 2024-04-10T12:29:45Z |
| format | Article |
| id | doaj.art-61501fc5b96346ca8a0281be88d54a27 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T12:29:45Z |
| publishDate | 2020-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-61501fc5b96346ca8a0281be88d54a272023-02-15T16:14:58ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802020-09-017316617110.4274/jus.galenos.2020.314613049054Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair AnalysisSercan Sarı0Mehmet Çağlar Çakıcı1Aykut Aykaç2Özer Baran3İbrahim Güven Kartal4Hakkı Uğur Özok5Ahmet Nihat Karakoyunlu6Azmi Levent Sağnak7 Yozgat Bozok University Faculty of Medicine, Department of Urology, Yozgat, Turkiye Medeniyet University Göztepe Training and Research Hospital, Clinic of Urology, İstanbul, Turkiye Karabuk University Faculty of Medicine, Department of Urology Karabük, Turkiye Karabuk University Faculty of Medicine, Department of Urology Karabük, Turkiye University of Health Science Turkiye, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Urology, Ankara, Turkiye Karabuk University Faculty of Medicine, Department of Urology Karabük, Turkiye University of Health Science Turkiye, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Science Turkiye, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Urology, Ankara, Turkiye Objective:To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones.Materials and Methods:Between 2012 and 2018, patient data was reviewed retrospectively and 1700 procedures were taken into consideration. Forty-seven anomalous kidney stones were included in the study (group A). In these patients, 18 had calyx diverticulum, 12 had horseshoe kidney, 8 had ureteral duplication, 2 had ectopic kidneys, 1 had malrotation, and 1 had bifid pelvis. After making a matched pair analysis, 47 normal kidney stones with similar demographic and stone characteristics were included in our study (group N). Demographic, stone, intraoperative and postoperative data were recorded. We compared these groups regarding efficiency and safety.Results:Average scope time, hospitalization time, and postoperative double J-stent rate were higher in group A. The difference was statistically insignificant (p>0.05). Ureteral access sheath usage was higher in group N, though the difference was statistically insignificant (p=0.63). Stone-free rates and success rates were higher in group N though the difference was not statistically significant (p>0.05). The rate of complications was statistically significantly higher in group A (p=0.02).Conclusion:RIRS can be used in the management of anomalous kidney stones. It is an efficient and safe method. Prospective and larger patient numbered studies are needed. http://jurolsurgery.org/archives/archive-detail/article-preview/kidney-stone-treatment-in-the-anomalous-kidney-wit/40002 anomalousmatched pairrirc |
| spellingShingle | Sercan Sarı Mehmet Çağlar Çakıcı Aykut Aykaç Özer Baran İbrahim Güven Kartal Hakkı Uğur Özok Ahmet Nihat Karakoyunlu Azmi Levent Sağnak Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis Journal of Urological Surgery anomalous matched pair rirc |
| title | Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis |
| title_full | Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis |
| title_fullStr | Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis |
| title_full_unstemmed | Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis |
| title_short | Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis |
| title_sort | kidney stone treatment in the anomalous kidney with retrograde intrarenal surgery a matched pair analysis |
| topic | anomalous matched pair rirc |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/kidney-stone-treatment-in-the-anomalous-kidney-wit/40002
|
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