Flexible Ureterorenoscopy Versus Extracorporeal Shock Wave Lithotripsy for the Treatment of Renal Pelvis Stones of 10-20 Mm in Obese Patients

Overview

Journal J Lasers Med Sci

Date 2015 Dec 26

PMID 26705461

Citations 13

Authors

Babak Javanmard

Mohammad Reza Razaghi

Anahita Ansari Jafari

Mohammad Mohsen Mazloomfard

Affiliations

Soon will be listed here.

Abstract

Introduction: To compare outcomes of retrograde intrarenal surgery (RIRS) with extracorporeal shock wave lithotripsy (ESWL) as treatment of choice.

Methods: A total number of 46 patients with renal pelvic stones 10-20 mm and body mass index (BMI) >30 randomized in two groups underwent RIRS and ESWL from 2011 to 2014 and followed for 3 months.

Results: The patients mean ± SD age was 36.1 ± 13.1 years in ESWL and 33.2 ± 11.4 years in RIRS groups (P = .1) with comparable BMI in both groups (36.2 vs 38.1). In ESWL and RIRS groups, the operation time was 72.2 ± 21 vs 66.5 ± 19 minutes (P = .061), respectively. Stone free rate (SFR) at 3 months was 68% in ESWL group vs 90.4% in RIRS group (P = .019). The complication rate was 20% in ESWL group vs 14.2% in RIRS group (P = .211) but all of them were minor and managed conservatively.

Conclusion: According to our study, RIRS procedure in comparison with ESWL is a safe and successful option of treatment for renal pelvis stone of 10-20 mm in obese people.

Citing Articles

Which Method Is More Effective for the Treatment of 1-2 cm Renal Pelvis Stones in Obese Patients: Extracorporeal Shock Wave Therapy or Flexible Ureterorenoscopy?.

Karkin K, Aydamirov M, Aksay B, Kaplan E, Gurlen G Cureus. 2024; 16(2):e54194.

PMID: 38496118 PMC: 10942129. DOI: 10.7759/cureus.54194.

Flexible Ureteroscopy: Global User Experience Using Disposable Devices.

Kasmani Z, Ravindraanandan M, Mahmalji W Cureus. 2023; 15(10):e46626.

PMID: 37937041 PMC: 10626212. DOI: 10.7759/cureus.46626.

Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones.

Setthawong V, Srisubat A, Potisat S, Lojanapiwat B, Pattanittum P Cochrane Database Syst Rev. 2023; 8:CD007044.

PMID: 37526261 PMC: 10392035. DOI: 10.1002/14651858.CD007044.pub4.

Effect of Body Mass Index on Outcomes of Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis.

Xu Y, Huang X Front Surg. 2022; 9:922451.

PMID: 35774391 PMC: 9237527. DOI: 10.3389/fsurg.2022.922451.

Effectiveness of Flexible Ureterorenoscopy Versus Extracorporeal Shock Wave Lithotripsy for Renal Calculi of 5-15 mm: Results of a Randomized Controlled Trial.

Fankhauser C, Weber D, Muntener M, Poyet C, Sulser T, Hermanns T Eur Urol Open Sci. 2021; 25:5-10.

PMID: 34337498 PMC: 8317856. DOI: 10.1016/j.euros.2021.01.001.

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