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Flexible ureterorenoscopy with holmium laser in horseshoe kidneys.
Urology. 2010 Dec; 76(6):1334-7.U

Abstract

OBJECTIVES

To assess the outcome of flexible ureterorenoscopy (F-URS) with the holmium laser in treating stones in the horseshoe kidney (HSK).

METHODS

We retrospectively reviewed the records of 17 patients with a HSK stone (17 renal units) who had undergone F-URS with the holmium laser from December 2004 to May 2009. The presenting symptoms were renal colic, urinary tract infection, or hematuria. F-URS was used in as an alternative after the failure of shock wave lithotripsy in 8 patients (47%) and percutaneous nephrolithotomy failure in 4 patients (23.5%). Follow-up examination was performed after 4-6 weeks with plain radiography and either renal ultrasonography or noncontrast computed tomography. Success was defined as stone-free status or residual fragments <3 mm. The use of auxiliary procedures was considered to indicate treatment failure.

RESULTS

A total of 17 patients were included in the present study (3 females and 14 males). Their age was 16-52 years (mean age ± SD 34.7 ± 6.3). The HSK stone location was 7 mixed caliceal, 3 mixed pelvic and caliceal, and 7 pelvic. The average stone burden was 16 mm (range 7-35). The overall number of procedures was 25 (mean 1.5 procedures/patient). Of the 17 patients, 15 (88.2%) were rendered stone free.

CONCLUSIONS

The results of our study have shown that F-URS with the holmium laser is an efficient minimal invasive procedure for treating HSK stones.

Authors+Show Affiliations

Department of Urology, Tenon University Hospital, Pierre and Marie Curie University, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20573385

Citation

Molimard, Benoit, et al. "Flexible Ureterorenoscopy With Holmium Laser in Horseshoe Kidneys." Urology, vol. 76, no. 6, 2010, pp. 1334-7.
Molimard B, Al-Qahtani S, Lakmichi A, et al. Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. Urology. 2010;76(6):1334-7.
Molimard, B., Al-Qahtani, S., Lakmichi, A., Sejiny, M., Gil-Diez de Medina, S., Carpentier, X., & Traxer, O. (2010). Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. Urology, 76(6), 1334-7. https://doi.org/10.1016/j.urology.2010.02.072
Molimard B, et al. Flexible Ureterorenoscopy With Holmium Laser in Horseshoe Kidneys. Urology. 2010;76(6):1334-7. PubMed PMID: 20573385.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. AU - Molimard,Benoit, AU - Al-Qahtani,Saeed, AU - Lakmichi,Amine, AU - Sejiny,Majed, AU - Gil-Diez de Medina,Sixtina, AU - Carpentier,Xavier, AU - Traxer,Olivier, Y1 - 2010/06/22/ PY - 2009/09/08/received PY - 2010/02/09/revised PY - 2010/02/09/accepted PY - 2010/6/25/entrez PY - 2010/6/25/pubmed PY - 2011/1/5/medline SP - 1334 EP - 7 JF - Urology JO - Urology VL - 76 IS - 6 N2 - OBJECTIVES: To assess the outcome of flexible ureterorenoscopy (F-URS) with the holmium laser in treating stones in the horseshoe kidney (HSK). METHODS: We retrospectively reviewed the records of 17 patients with a HSK stone (17 renal units) who had undergone F-URS with the holmium laser from December 2004 to May 2009. The presenting symptoms were renal colic, urinary tract infection, or hematuria. F-URS was used in as an alternative after the failure of shock wave lithotripsy in 8 patients (47%) and percutaneous nephrolithotomy failure in 4 patients (23.5%). Follow-up examination was performed after 4-6 weeks with plain radiography and either renal ultrasonography or noncontrast computed tomography. Success was defined as stone-free status or residual fragments <3 mm. The use of auxiliary procedures was considered to indicate treatment failure. RESULTS: A total of 17 patients were included in the present study (3 females and 14 males). Their age was 16-52 years (mean age ± SD 34.7 ± 6.3). The HSK stone location was 7 mixed caliceal, 3 mixed pelvic and caliceal, and 7 pelvic. The average stone burden was 16 mm (range 7-35). The overall number of procedures was 25 (mean 1.5 procedures/patient). Of the 17 patients, 15 (88.2%) were rendered stone free. CONCLUSIONS: The results of our study have shown that F-URS with the holmium laser is an efficient minimal invasive procedure for treating HSK stones. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/20573385/Flexible_ureterorenoscopy_with_holmium_laser_in_horseshoe_kidneys_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(10)00529-7 DB - PRIME DP - Unbound Medicine ER -