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[Endoscopic treatment of renal diverticular stone (Single Centre Study of 45 cases)].
Prog Urol. 2013 Jun; 23(7):450-5.PU

Abstract

OBJECTIVE

We aim to evaluate the outcome of flexible ureterorenoscopy (F-URS) with holmium laser in treating renal diverticular stone as a minimal invasive option.

PATIENTS AND METHODS

We reviewed retrospectively the records of 45 patients who underwent F-URS using holmium laser from 2004 to 2011 for symptomatic renal diverticular stone. The presenting symptoms were renal colic, urinary tract infection or hematuria. The F-URS used after the Shock Wave Lithotripsy (SWL) failure in 30 (66.7 %) patients. The repeated treatment by F-URS was carried out twice for four patients; in three patients, it was correlated to the size of the stone and it was because of failure to identify the diverticulum in one patient. The follow up visit range were between 4 to 6 weeks with plain radiograph (KUB) and renal ultrasound or non-contrast CT scan (NCCT).

RESULTS

Of our data, there were 45 patients, 22 women and 23 men (mean age of 46.3 years, range 18-72). We found 28 patients (62.2 %) who had stone free (SF), 10 patients (22.2 %) with clinically insignificant residual fragments (less than 3mm in size) and residual fragments (RF) in seven patients (15.6 %). Success rate was considered as stone free or insignificant residual fragment, which was obtained in 38 patients (84.4 %). The symptom-free was in 42 patients (93.3 %).

CONCLUSION

In our experience, F-URS using holmium laser was very effective minimally-invasive technique that could be the best option for the treatment of renal diverticular stone especially for those who resist the treatment with the SWL. It showed an excellent stone clearance rate, minimal morbidity rate and brief hospital stay.

Authors+Show Affiliations

Service d'urologie, université Pierre-et-Marie-Curie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France. dorian.legraverend@yahoo.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

23721704

Citation

Legraverend, D, et al. "[Endoscopic Treatment of Renal Diverticular Stone (Single Centre Study of 45 Cases)]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 23, no. 7, 2013, pp. 450-5.
Legraverend D, Al-Qahtani SM, Doizi S, et al. [Endoscopic treatment of renal diverticular stone (Single Centre Study of 45 cases)]. Prog Urol. 2013;23(7):450-5.
Legraverend, D., Al-Qahtani, S. M., Doizi, S., Sejiny, M., Tligui, M., & Traxer, O. (2013). [Endoscopic treatment of renal diverticular stone (Single Centre Study of 45 cases)]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 23(7), 450-5. https://doi.org/10.1016/j.purol.2013.03.008
Legraverend D, et al. [Endoscopic Treatment of Renal Diverticular Stone (Single Centre Study of 45 Cases)]. Prog Urol. 2013;23(7):450-5. PubMed PMID: 23721704.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endoscopic treatment of renal diverticular stone (Single Centre Study of 45 cases)]. AU - Legraverend,D, AU - Al-Qahtani,S M, AU - Doizi,S, AU - Sejiny,M, AU - Tligui,M, AU - Traxer,O, Y1 - 2013/04/18/ PY - 2013/01/21/received PY - 2013/01/31/revised PY - 2013/03/12/accepted PY - 2013/6/1/entrez PY - 2013/6/1/pubmed PY - 2014/3/13/medline SP - 450 EP - 5 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog. Urol. VL - 23 IS - 7 N2 - OBJECTIVE: We aim to evaluate the outcome of flexible ureterorenoscopy (F-URS) with holmium laser in treating renal diverticular stone as a minimal invasive option. PATIENTS AND METHODS: We reviewed retrospectively the records of 45 patients who underwent F-URS using holmium laser from 2004 to 2011 for symptomatic renal diverticular stone. The presenting symptoms were renal colic, urinary tract infection or hematuria. The F-URS used after the Shock Wave Lithotripsy (SWL) failure in 30 (66.7 %) patients. The repeated treatment by F-URS was carried out twice for four patients; in three patients, it was correlated to the size of the stone and it was because of failure to identify the diverticulum in one patient. The follow up visit range were between 4 to 6 weeks with plain radiograph (KUB) and renal ultrasound or non-contrast CT scan (NCCT). RESULTS: Of our data, there were 45 patients, 22 women and 23 men (mean age of 46.3 years, range 18-72). We found 28 patients (62.2 %) who had stone free (SF), 10 patients (22.2 %) with clinically insignificant residual fragments (less than 3mm in size) and residual fragments (RF) in seven patients (15.6 %). Success rate was considered as stone free or insignificant residual fragment, which was obtained in 38 patients (84.4 %). The symptom-free was in 42 patients (93.3 %). CONCLUSION: In our experience, F-URS using holmium laser was very effective minimally-invasive technique that could be the best option for the treatment of renal diverticular stone especially for those who resist the treatment with the SWL. It showed an excellent stone clearance rate, minimal morbidity rate and brief hospital stay. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/23721704/[Endoscopic_treatment_of_renal_diverticular_stone__Single_Centre_Study_of_45_cases_]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(13)00108-5 DB - PRIME DP - Unbound Medicine ER -