European Journal of Therapeutics
Original Research

Comparative Evaluation of Micropercutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in the Management of Renal Stones 10–20 mm in Size

1.

Department of Urology, Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey

Eur J Ther 2020; 26: 317-321
DOI: 10.5152/eurjther.2020.19102
Read: 68 Downloads: 44 Published: 01 December 2020

Objective: To assess the effects of micropercutaneous nephrolithotomy (microperc) and retrograde intrarenal surgery (RIRS) on treating 10–20-mm kidney stones.

Methods: Twenty-eight patients who underwent microperc (group 1) and 30 patients who underwent RIRS (group 2) between February 2015 and April 2017 were examined. This study included patients with 10–20-mm kidney stones located at a single location. Stone characteristics, fluoroscopy and operation times, stone-free rates (SFRs), and postoperative complications were compared between the two groups.

Results: Age, gender, size, laterality, and stone location,and operation times were similar between the two groups. Moreover, the two groups had similar SFRs (92.9% vs. 90%, p=1.00, respectively). The mean fluoroscopy time was higher in group 1 than in group 2 (p=0.001). The two groups were similar in terms of SFRs (92.9% vs.90%, p=1.00, respectively). The decrease in hemoglobin levels was signifcantly more in group 1 than in group 2 (p=0.001).In terms of postoperative complications, no statistically significant difference was observed between the groups (p=0.277). The mean hospitalization time was 50.21±9.62 and 27.46±7.23 hours in groups 1 and 2, respectively (p=0.001).

Conclusion: Both techniques are successful in treating renal stones and have low complication rates. Microperc is an effective method for managing medium-sized renal stones. However, longer fluoroscopy time and longer hospital stay are the main disadvantages of this technique.

How to cite: Barut O, Küçükdurmaz F, Demirkol MK, Demir BT, Şahinkanat T, Resim S. Comparative Evaluation of Micropercutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in the Management of Renal Stones 10–20 mm in Size. Eur J Ther 2020; 26(4): 317-21.

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EISSN 2564-7040