Tags

Type your tag names separated by a space and hit enter

Efficacy and safety of semirigid ureteroscopy combined with holmium: YAG laser in the treatment of upper urinary tract calculi: Is it a good alternative treatment option of flexible ureteroscopy for developing countries?
J Pak Med Assoc. 2015 Nov; 65(11):1193-6.JP

Abstract

OBJECTIVE

To assess the success rates of endoscopic management of upper ureteral stones using semirigid ureterorenoscopy and holmium: YAG laser lithotripters.

METHODS

A total of 74 patients with an established diagnosis of upper ureteric stone and scheduled for endoscopic ureteral stone treatment were retrospectively evaluated. Failure was defined as the inability to contact or fragment the stone, migration of the stone into the renal pelvis and difficulty in visualizing the stone for the second time. Success rates and influencing factors as for stone-free state were investigated.

RESULTS

Mean age of our patients was 45.99±15.00 (range: 24-82) years. In 14 of 74 patients procedural failure was observed. Double J stents were implanted in 65 % of the patients and ureteral catheterization was performed on 20% of them. The total success rate was 81.1 %. Major complication rate was 1.1 percent. Factors effecting the success rate as gender, age, body mass index, grade of hydronephrosis and stone size were evaluated and only age was found to be statistically significant.

CONCLUSIONS

Despite some potential risks, semirigid ureterorenoscopic stone extraction and holmium: YAG laser lithotripters are still safe and effective treatment alternatives for management of upper ureteral stones.

Authors+Show Affiliations

Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Icerenkoy/Atasehir, Istanbul, Turkey.Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Icerenkoy/Atasehir, Istanbul, Turkey.Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Icerenkoy/Atasehir, Istanbul, Turkey.Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Icerenkoy/Atasehir, Istanbul, Turkey.Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Icerenkoy/Atasehir, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26564291

Citation

Yuksel, Ozgur Haki, et al. "Efficacy and Safety of Semirigid Ureteroscopy Combined With Holmium: YAG Laser in the Treatment of Upper Urinary Tract Calculi: Is It a Good Alternative Treatment Option of Flexible Ureteroscopy for Developing Countries?" JPMA. the Journal of the Pakistan Medical Association, vol. 65, no. 11, 2015, pp. 1193-6.
Yuksel OH, Akan S, Urkmez A, et al. Efficacy and safety of semirigid ureteroscopy combined with holmium: YAG laser in the treatment of upper urinary tract calculi: Is it a good alternative treatment option of flexible ureteroscopy for developing countries? J Pak Med Assoc. 2015;65(11):1193-6.
Yuksel, O. H., Akan, S., Urkmez, A., Uruc, F., & Verit, A. (2015). Efficacy and safety of semirigid ureteroscopy combined with holmium: YAG laser in the treatment of upper urinary tract calculi: Is it a good alternative treatment option of flexible ureteroscopy for developing countries? JPMA. the Journal of the Pakistan Medical Association, 65(11), 1193-6.
Yuksel OH, et al. Efficacy and Safety of Semirigid Ureteroscopy Combined With Holmium: YAG Laser in the Treatment of Upper Urinary Tract Calculi: Is It a Good Alternative Treatment Option of Flexible Ureteroscopy for Developing Countries. J Pak Med Assoc. 2015;65(11):1193-6. PubMed PMID: 26564291.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy and safety of semirigid ureteroscopy combined with holmium: YAG laser in the treatment of upper urinary tract calculi: Is it a good alternative treatment option of flexible ureteroscopy for developing countries? AU - Yuksel,Ozgur Haki, AU - Akan,Serkan, AU - Urkmez,Ahmet, AU - Uruc,Fatih, AU - Verit,Ayhan, PY - 2015/11/14/entrez PY - 2015/11/14/pubmed PY - 2017/1/14/medline KW - Upper ureter, Stone, Semirigid ureterorenoscope, Holmium: YAG laser. SP - 1193 EP - 6 JF - JPMA. The Journal of the Pakistan Medical Association JO - J Pak Med Assoc VL - 65 IS - 11 N2 - OBJECTIVE: To assess the success rates of endoscopic management of upper ureteral stones using semirigid ureterorenoscopy and holmium: YAG laser lithotripters. METHODS: A total of 74 patients with an established diagnosis of upper ureteric stone and scheduled for endoscopic ureteral stone treatment were retrospectively evaluated. Failure was defined as the inability to contact or fragment the stone, migration of the stone into the renal pelvis and difficulty in visualizing the stone for the second time. Success rates and influencing factors as for stone-free state were investigated. RESULTS: Mean age of our patients was 45.99±15.00 (range: 24-82) years. In 14 of 74 patients procedural failure was observed. Double J stents were implanted in 65 % of the patients and ureteral catheterization was performed on 20% of them. The total success rate was 81.1 %. Major complication rate was 1.1 percent. Factors effecting the success rate as gender, age, body mass index, grade of hydronephrosis and stone size were evaluated and only age was found to be statistically significant. CONCLUSIONS: Despite some potential risks, semirigid ureterorenoscopic stone extraction and holmium: YAG laser lithotripters are still safe and effective treatment alternatives for management of upper ureteral stones. SN - 0030-9982 UR - https://www.unboundmedicine.com/medline/citation/26564291/Efficacy_and_safety_of_semirigid_ureteroscopy_combined_with_holmium:_YAG_laser_in_the_treatment_of_upper_urinary_tract_calculi:_Is_it_a_good_alternative_treatment_option_of_flexible_ureteroscopy_for_developing_countries L2 - http://jpma.org.pk/full_article-text.php?article_id=7524 DB - PRIME DP - Unbound Medicine ER -