Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation
Aim: To assess the efficacy and safety of two different techniques (Percutaneous nephrolithotomy (PNL) vs Retrograde intrarenal surgery (RIRS)) in the management of stones in patients with horseshoe kidneys (HSK). Patients and methods: Departmental files of 88 cases with radiopaque kidney stones in...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2018-09-01
|
| Series: | Archivio Italiano di Urologia e Andrologia |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/7407 |
| _version_ | 1818851057136041984 |
|---|---|
| author | Bilal Eryildirim Eyup Veli Kucuk Gokhan Atis Metin Ozturk Temucin Senkul Murat Tuncer Ahmet Tahra Turgay Turan Orhan Koca Ferhat Ates Omer Yilmaz Cenk Gurbuz Kemal Sarica |
| author_facet | Bilal Eryildirim Eyup Veli Kucuk Gokhan Atis Metin Ozturk Temucin Senkul Murat Tuncer Ahmet Tahra Turgay Turan Orhan Koca Ferhat Ates Omer Yilmaz Cenk Gurbuz Kemal Sarica |
| author_sort | Bilal Eryildirim |
| collection | DOAJ |
| description | Aim: To assess the efficacy and safety of two different techniques (Percutaneous nephrolithotomy (PNL) vs Retrograde intrarenal surgery (RIRS)) in the management of stones in patients with horseshoe kidneys (HSK). Patients and methods: Departmental files of 88 cases with radiopaque kidney stones in horseshoe kidneys undergoing two different approaches (PNL vs RIRS) were evaluated with respect to the success and complication rates of in a retrospective manner. In addition to the factors related with the procedures (success and complication rates, additional procedures), patient and stone characteristics were all well evaluated. Findings obtained in both groups were evaluated in a comparative manner with respect to the statistical significance. Results: Stone free rates were comparable in both groups after 1-week period (81.6% PNL vs 80% RIRS). As well as 3 months evaluation (84.2% PNL and 82.0% RIRS). The percentage of the cases with residual fragments (> 4 mm) were similar in both groups and while all PNL procedures were completed in one session, mean number of RIRS sessions was higher (1.22 ± 0.05). Mean duration of the procedure was slightly higher in RIRS group and based on Clavien scoring system, despite a higher risk of Hb drop noted in patients treated with PNL, all complication rates were found to be similar in both groups. Conclusion: Our results demonstrate that of the available minimally invasive treatment alternatives, both PNL and RIRS could be safe and effective alternatives for renal stone removal in patients with HSK. |
| first_indexed | 2024-12-19T06:58:58Z |
| format | Article |
| id | doaj.art-8d4d0a86d7d94b73a7220a87c1227443 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-19T06:58:58Z |
| publishDate | 2018-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-8d4d0a86d7d94b73a7220a87c12274432022-12-21T20:31:27ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972018-09-0190314915410.4081/aiua.2018.3.1495906Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluationBilal Eryildirim0Eyup Veli Kucuk1Gokhan Atis2Metin Ozturk3Temucin Senkul4Murat Tuncer5Ahmet Tahra6Turgay Turan7Orhan Koca8Ferhat Ates9Omer Yilmaz10Cenk Gurbuz11Kemal Sarica12Health Sciences University, Dr. Lütfi Kirdar Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Umraniye Training and Research Hospital, Urology Clinic, IstanbulIstanbul Medeniyet University, Goztepe Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Haydarpasa Numune Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Dr. Lütfi Kirdar Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Umraniye Training and Research Hospital, Urology Clinic, IstanbulIstanbul Medeniyet University, Goztepe Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Haydarpasa Numune Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Urology Clinic, IstanbulHealth Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Urology Clinic, IstanbulMedistate Hospital, Urology Department, IstanbulKafkas University, Faculty of Medicine, Urology DepartmentAim: To assess the efficacy and safety of two different techniques (Percutaneous nephrolithotomy (PNL) vs Retrograde intrarenal surgery (RIRS)) in the management of stones in patients with horseshoe kidneys (HSK). Patients and methods: Departmental files of 88 cases with radiopaque kidney stones in horseshoe kidneys undergoing two different approaches (PNL vs RIRS) were evaluated with respect to the success and complication rates of in a retrospective manner. In addition to the factors related with the procedures (success and complication rates, additional procedures), patient and stone characteristics were all well evaluated. Findings obtained in both groups were evaluated in a comparative manner with respect to the statistical significance. Results: Stone free rates were comparable in both groups after 1-week period (81.6% PNL vs 80% RIRS). As well as 3 months evaluation (84.2% PNL and 82.0% RIRS). The percentage of the cases with residual fragments (> 4 mm) were similar in both groups and while all PNL procedures were completed in one session, mean number of RIRS sessions was higher (1.22 ± 0.05). Mean duration of the procedure was slightly higher in RIRS group and based on Clavien scoring system, despite a higher risk of Hb drop noted in patients treated with PNL, all complication rates were found to be similar in both groups. Conclusion: Our results demonstrate that of the available minimally invasive treatment alternatives, both PNL and RIRS could be safe and effective alternatives for renal stone removal in patients with HSK.https://www.pagepressjournals.org/index.php/aiua/article/view/7407Horseshoe kidneyPercutaneous nephrolithotomyRetrograde intrarenal surgeryRenal stoneUreteroscopy. |
| spellingShingle | Bilal Eryildirim Eyup Veli Kucuk Gokhan Atis Metin Ozturk Temucin Senkul Murat Tuncer Ahmet Tahra Turgay Turan Orhan Koca Ferhat Ates Omer Yilmaz Cenk Gurbuz Kemal Sarica Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation Archivio Italiano di Urologia e Andrologia Horseshoe kidney Percutaneous nephrolithotomy Retrograde intrarenal surgery Renal stone Ureteroscopy. |
| title | Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation |
| title_full | Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation |
| title_fullStr | Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation |
| title_full_unstemmed | Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation |
| title_short | Safety and efficacy of PNL vs RIRS in the management of stones located in horseshoe kidneys: A critical comparative evaluation |
| title_sort | safety and efficacy of pnl vs rirs in the management of stones located in horseshoe kidneys a critical comparative evaluation |
| topic | Horseshoe kidney Percutaneous nephrolithotomy Retrograde intrarenal surgery Renal stone Ureteroscopy. |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/7407 |
| work_keys_str_mv | AT bilaleryildirim safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT eyupvelikucuk safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT gokhanatis safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT metinozturk safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT temucinsenkul safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT murattuncer safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT ahmettahra safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT turgayturan safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT orhankoca safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT ferhatates safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT omeryilmaz safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT cenkgurbuz safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation AT kemalsarica safetyandefficacyofpnlvsrirsinthemanagementofstoneslocatedinhorseshoekidneysacriticalcomparativeevaluation |