Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study
Objective: In this study we aimed to evaluate the effectiveness of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRC) in treatment of lower pole kidney stones. Material and Methods: The data of 134 patients who underwent SWL or RIRC treatment for lower pole kidney stone between...
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| Format: | Article |
| Language: | English |
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Ali İhsan Taşçı
2020-06-01
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| Series: | Yeni Üroloji Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1023519 |
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| author | Yalçın, Serdar Karşıyakalı, Nejdet Kaya, Engin Yılmaz, Sercan Gazel, Eymen Asgarlı, Sanan Gürdal, Mesut Bedir, Selahattin |
| author_facet | Yalçın, Serdar Karşıyakalı, Nejdet Kaya, Engin Yılmaz, Sercan Gazel, Eymen Asgarlı, Sanan Gürdal, Mesut Bedir, Selahattin |
| author_sort | Yalçın, Serdar |
| collection | DOAJ |
| description | Objective: In this study we aimed to evaluate the effectiveness of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRC) in treatment of lower pole kidney stones.
Material and Methods: The data of 134 patients who underwent SWL or RIRC treatment for lower pole kidney stone between January 2018 and August 2019 were retrospectively reviewed. The groups were compared statistically in terms of demographic characteristics, stone characteristics and stone-free rates.
Results: Ninety-two (68.7%) male and 42 (31.3%) female patients were included in the study. Fifty-nine (44.0%) patients had stone in the right kidney and 75 (56.0%) had stone in the left kidney. The mean age of all patients was 47 ± 16 years, stone burden was 94.7 ± 62.0 mm2 and Hounsfield Unit was calculated as 819.5 ± 256.2. There were 73 (54.5%) patients in the SWL group and 61 (45.5%) patients in the RIRC group. Stone-free rates were calculated as 52.1% and 72.1% for SWL and RIRC groups, respectively. Although stone burden was higher in RIRC group than SWL group, stone-free rate was higher (p=0.004 and p=0.018, respectively).
Conclusion: When compared with SWL, higher stone-free rates can be achieved with RIRC with lower number of sessions even in cases with higher stone burden. |
| first_indexed | 2024-04-10T12:50:49Z |
| format | Article |
| id | doaj.art-a97899ba72be4bc68205b7d5430343a1 |
| institution | Directory Open Access Journal |
| issn | 1305-2489 2687-1955 |
| language | English |
| last_indexed | 2024-04-10T12:50:49Z |
| publishDate | 2020-06-01 |
| publisher | Ali İhsan Taşçı |
| record_format | Article |
| series | Yeni Üroloji Dergisi |
| spelling | doaj.art-a97899ba72be4bc68205b7d5430343a12023-02-15T16:13:46ZengAli İhsan TaşçıYeni Üroloji Dergisi1305-24892687-19552020-06-0115212713410.33719/yud.652848Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control StudyYalçın, Serdar0https://orcid.org/0000-0002-8384-8888Karşıyakalı, Nejdet 1https://orcid.org/0000-0002-0709-0331Kaya, Engin2https://orcid.org/0000-0002-5272-572XYılmaz, Sercan3https://orcid.org/0000-0001-6820-6708Gazel, Eymen4https://orcid.org/0000-0002-6483-9249Asgarlı, Sanan5https://orcid.org/0000-0002-1217-5479Gürdal, Mesut6https://orcid.org/0000-0002-2535-8506Bedir, Selahattin7https://orcid.org/0000-0003-4999-9217Sağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeÇukurca Devlet Hastanesi, Üroloji Kliniği, Hakkari, TürkiyeSağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeSağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeAcıbadem Üniversitesi, Acıbadem Ankara Hastanesi, Üroloji Kliniği, Ankara, TürkiyeSağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeSağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeSağlık Bilimleri Üniversitesi, Gülhane Eğitim ve Araştırma Hastanesi, Üroloji AD, Ankara, TürkiyeObjective: In this study we aimed to evaluate the effectiveness of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRC) in treatment of lower pole kidney stones. Material and Methods: The data of 134 patients who underwent SWL or RIRC treatment for lower pole kidney stone between January 2018 and August 2019 were retrospectively reviewed. The groups were compared statistically in terms of demographic characteristics, stone characteristics and stone-free rates. Results: Ninety-two (68.7%) male and 42 (31.3%) female patients were included in the study. Fifty-nine (44.0%) patients had stone in the right kidney and 75 (56.0%) had stone in the left kidney. The mean age of all patients was 47 ± 16 years, stone burden was 94.7 ± 62.0 mm2 and Hounsfield Unit was calculated as 819.5 ± 256.2. There were 73 (54.5%) patients in the SWL group and 61 (45.5%) patients in the RIRC group. Stone-free rates were calculated as 52.1% and 72.1% for SWL and RIRC groups, respectively. Although stone burden was higher in RIRC group than SWL group, stone-free rate was higher (p=0.004 and p=0.018, respectively). Conclusion: When compared with SWL, higher stone-free rates can be achieved with RIRC with lower number of sessions even in cases with higher stone burden.https://dergipark.org.tr/tr/download/article-file/1023519kidney stoneintrarenal surgeryshock wave lithotripsystone-free |
| spellingShingle | Yalçın, Serdar Karşıyakalı, Nejdet Kaya, Engin Yılmaz, Sercan Gazel, Eymen Asgarlı, Sanan Gürdal, Mesut Bedir, Selahattin Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study Yeni Üroloji Dergisi kidney stone intrarenal surgery shock wave lithotripsy stone-free |
| title | Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study |
| title_full | Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study |
| title_fullStr | Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study |
| title_full_unstemmed | Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study |
| title_short | Comparison of the effectiveness of Shock Wave Lithotripsy and Retrograde Intrarenal Surgery in Treatment of Lower Pole Kidney Stones: Single Center, Case-Control Study |
| title_sort | comparison of the effectiveness of shock wave lithotripsy and retrograde intrarenal surgery in treatment of lower pole kidney stones single center case control study |
| topic | kidney stone intrarenal surgery shock wave lithotripsy stone-free |
| url | https://dergipark.org.tr/tr/download/article-file/1023519 |
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