Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy?
Objective: We aimed to investigate the efficacy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi. Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bi...
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| Format: | Article |
| Language: | English |
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Ali İhsan Taşçı
2021-02-01
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| Series: | Yeni Üroloji Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/994329 |
| _version_ | 1797920727358242816 |
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| author | Mehmet Oğuz ŞAHİN Volkan ŞEN Bora İRER Güner YILDIZ |
| author_facet | Mehmet Oğuz ŞAHİN Volkan ŞEN Bora İRER Güner YILDIZ |
| author_sort | Mehmet Oğuz ŞAHİN |
| collection | DOAJ |
| description | Objective: We aimed to investigate the efficacy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi.
Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bilateral ureteral stones in single session (group 2) were compared in terms of demographic data, urinary stone disease history, stone characteristics and operation outcomes.
Results: There were 582 (69.2%) male and 259 (30.8%) female patients in group 1, 27 (65.9%) male and 14 (34.1%) female patients in group 2. The stone area was calculated as 70.9±52.6 mm2 in Group 1 while 271.1±180.2 mm2 in Group 2 cumulatively and it was significantly larger than Group 1 (p˂0.001). Mean operation time was also longer in Group 2 (Group 1: 36.0±19.3 min and Group 2: 48.9±23.7 min; p˂0.001). General anesthesia was preferred in 50 patients (5.9%) in Group 1 and 7 (17.1%) patients in group 2 (p=0.013). A total of 127 (15.1%) patients needed analgesia at postoperative first day in Group 1 and 12 (29.3%) patients in Group 2 (p=0.025). The hospitalization times and stone free rates were similar between the groups (1.4±1.3 vs 2.1±2.6 days; p=0.082 and 90.6% vs 85.4%; p=0.274). No complication was found in 816 (97.0%) patients in Group 1 and 40 (97.6%) patients in Group 2 (p = 0.970).
Conclusion: We believe that bilateral URS in the same session is an effective and reliable method in the treatment of bilateral ureter stones. |
| first_indexed | 2024-04-10T14:05:47Z |
| format | Article |
| id | doaj.art-8f8f7e3671da489598af8f260341a2db |
| institution | Directory Open Access Journal |
| issn | 1305-2489 2687-1955 |
| language | English |
| last_indexed | 2024-04-10T14:05:47Z |
| publishDate | 2021-02-01 |
| publisher | Ali İhsan Taşçı |
| record_format | Article |
| series | Yeni Üroloji Dergisi |
| spelling | doaj.art-8f8f7e3671da489598af8f260341a2db2023-02-15T16:09:59ZengAli İhsan TaşçıYeni Üroloji Dergisi1305-24892687-19552021-02-01161121910.33719/yud.699109Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy?Mehmet Oğuz ŞAHİN0https://orcid.org/0000-0002-1985-9312Volkan ŞEN1https://orcid.org/0000-0003-2832-0682Bora İRER2https://orcid.org/0000-0002-7719-9033Güner YILDIZ3https://orcid.org/0000-0002-0495-9863Manisa State Hospital, Department of Urology, TurkeyManisa State Hospital, Department of Urology, Turkeyİzmir Büyükşehir Belediyesi Eşrefpaşa Hospital, Department of Urology, TurkeyDr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, TurkeyObjective: We aimed to investigate the efficacy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi. Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bilateral ureteral stones in single session (group 2) were compared in terms of demographic data, urinary stone disease history, stone characteristics and operation outcomes. Results: There were 582 (69.2%) male and 259 (30.8%) female patients in group 1, 27 (65.9%) male and 14 (34.1%) female patients in group 2. The stone area was calculated as 70.9±52.6 mm2 in Group 1 while 271.1±180.2 mm2 in Group 2 cumulatively and it was significantly larger than Group 1 (p˂0.001). Mean operation time was also longer in Group 2 (Group 1: 36.0±19.3 min and Group 2: 48.9±23.7 min; p˂0.001). General anesthesia was preferred in 50 patients (5.9%) in Group 1 and 7 (17.1%) patients in group 2 (p=0.013). A total of 127 (15.1%) patients needed analgesia at postoperative first day in Group 1 and 12 (29.3%) patients in Group 2 (p=0.025). The hospitalization times and stone free rates were similar between the groups (1.4±1.3 vs 2.1±2.6 days; p=0.082 and 90.6% vs 85.4%; p=0.274). No complication was found in 816 (97.0%) patients in Group 1 and 40 (97.6%) patients in Group 2 (p = 0.970). Conclusion: We believe that bilateral URS in the same session is an effective and reliable method in the treatment of bilateral ureter stones.https://dergipark.org.tr/tr/download/article-file/994329bilateral ureteral stonesbilateral ureteroscopyureteral stoneureteral stone treatmentureteroscopy |
| spellingShingle | Mehmet Oğuz ŞAHİN Volkan ŞEN Bora İRER Güner YILDIZ Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? Yeni Üroloji Dergisi bilateral ureteral stones bilateral ureteroscopy ureteral stone ureteral stone treatment ureteroscopy |
| title | Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? |
| title_full | Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? |
| title_fullStr | Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? |
| title_full_unstemmed | Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? |
| title_short | Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy? |
| title_sort | can bilateral ureter stones be treated safely and effectively with one session ureteroscopy |
| topic | bilateral ureteral stones bilateral ureteroscopy ureteral stone ureteral stone treatment ureteroscopy |
| url | https://dergipark.org.tr/tr/download/article-file/994329 |
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