A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi
Abstract Background This retrospective study was conducted to compare the safety and efficacy of Sun’s tip-flexible semirigid ureterorenoscopy (tf-URS), super-mini percutaneous nephrolithotomy (SMP) and flexible ureteroscopy (FURS) in treating upper urinary tract calculi, including upper ureteral or...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-02-01
|
| Series: | BMC Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12894-024-01412-z |
| _version_ | 1827326053349064704 |
|---|---|
| author | Xinkai Huang Liang Zhong Zhifeng Huang Haibiao Lai |
| author_facet | Xinkai Huang Liang Zhong Zhifeng Huang Haibiao Lai |
| author_sort | Xinkai Huang |
| collection | DOAJ |
| description | Abstract Background This retrospective study was conducted to compare the safety and efficacy of Sun’s tip-flexible semirigid ureterorenoscopy (tf-URS), super-mini percutaneous nephrolithotomy (SMP) and flexible ureteroscopy (FURS) in treating upper urinary tract calculi, including upper ureteral or renal calculi. Methods We included patients with upper ureteral calculi or renal calculi 1.0–2.0 cm in size, who underwent tf-URS, SMP or FURS, respectively. The indicators reflecting safety and efficacy were compared among the three surgical techniques. Results SMP presented with higher single stone crushing success rate, but longer operation time and postoperative hospital stay, more blood loss, and higher postoperative pain score compared with FURS and tf-URS (P < 0.05). The hospitalization cost of tf-URS group was lower than that of SMP and FURS groups (P < 0.05). The incidence of postoperative fever in tf-URS group was significantly higher than that in SMP group (P < 0.05). No significant difference was found in mucosal injury, perirenal hematoma, and stone-free rate at 3 months after surgery (P > 0.05). Conclusions tf-URS and FURS have the advantages in minimal invasion, hospitalization cost, patient comfort, and hospital stay while SMP has higher stone-free rate. These three surgical techniques are safe, reliable and complementary, which should be selected according to the actual situation. |
| first_indexed | 2024-03-07T14:39:05Z |
| format | Article |
| id | doaj.art-b5ff496971e94bfd9075bb6b8e58c488 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-03-07T14:39:05Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-b5ff496971e94bfd9075bb6b8e58c4882024-03-05T20:28:40ZengBMCBMC Urology1471-24902024-02-012411710.1186/s12894-024-01412-zA retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculiXinkai Huang0Liang Zhong1Zhifeng Huang2Haibiao Lai3Department of Urology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineDepartment of Urology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineDepartment of Urology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineDepartment of Urology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineAbstract Background This retrospective study was conducted to compare the safety and efficacy of Sun’s tip-flexible semirigid ureterorenoscopy (tf-URS), super-mini percutaneous nephrolithotomy (SMP) and flexible ureteroscopy (FURS) in treating upper urinary tract calculi, including upper ureteral or renal calculi. Methods We included patients with upper ureteral calculi or renal calculi 1.0–2.0 cm in size, who underwent tf-URS, SMP or FURS, respectively. The indicators reflecting safety and efficacy were compared among the three surgical techniques. Results SMP presented with higher single stone crushing success rate, but longer operation time and postoperative hospital stay, more blood loss, and higher postoperative pain score compared with FURS and tf-URS (P < 0.05). The hospitalization cost of tf-URS group was lower than that of SMP and FURS groups (P < 0.05). The incidence of postoperative fever in tf-URS group was significantly higher than that in SMP group (P < 0.05). No significant difference was found in mucosal injury, perirenal hematoma, and stone-free rate at 3 months after surgery (P > 0.05). Conclusions tf-URS and FURS have the advantages in minimal invasion, hospitalization cost, patient comfort, and hospital stay while SMP has higher stone-free rate. These three surgical techniques are safe, reliable and complementary, which should be selected according to the actual situation.https://doi.org/10.1186/s12894-024-01412-zSun’s tip-flexible semirigid ureterorenoscopySuper-mini percutaneous nephrolithotomyFlexible ureteroscopyUpper urinary tract calculi |
| spellingShingle | Xinkai Huang Liang Zhong Zhifeng Huang Haibiao Lai A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi BMC Urology Sun’s tip-flexible semirigid ureterorenoscopy Super-mini percutaneous nephrolithotomy Flexible ureteroscopy Upper urinary tract calculi |
| title | A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| title_full | A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| title_fullStr | A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| title_full_unstemmed | A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| title_short | A retrospective comparison of Sun’s tip-flexible semirigid ureterorenoscopy, super-mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| title_sort | retrospective comparison of sun s tip flexible semirigid ureterorenoscopy super mini percutaneous nephrolithotomy and flexible ureteroscopy applied to treat upper urinary tract calculi |
| topic | Sun’s tip-flexible semirigid ureterorenoscopy Super-mini percutaneous nephrolithotomy Flexible ureteroscopy Upper urinary tract calculi |
| url | https://doi.org/10.1186/s12894-024-01412-z |
| work_keys_str_mv | AT xinkaihuang aretrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT liangzhong aretrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT zhifenghuang aretrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT haibiaolai aretrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT xinkaihuang retrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT liangzhong retrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT zhifenghuang retrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi AT haibiaolai retrospectivecomparisonofsunstipflexiblesemirigidureterorenoscopysuperminipercutaneousnephrolithotomyandflexibleureteroscopyappliedtotreatupperurinarytractcalculi |