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Safety and Efficacy of Flexible Ureteroscopy in Combination with Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi.
Urol Int. 2017; 98(4):418-424.UI

Abstract

OBJECTIVE

To retrospectively evaluate the safety and efficacy of flexible ureteroscopy (FURS) in combination with holmium laser lithotripsy for the treatment of bilateral upper urinary calculi.

MATERIALS AND METHODS

The stone-free status was defined as the absence of any stones or asymptomatic status, or the presence of clinically insignificant residual fragments <4 mm, and was assessed by plain kidney, ureter, and bladder X-ray. The operative time, stone-free rates (SFRs), serum creatinine (SCr), and complications were recorded.

RESULTS

During the operation, there was no bleeding, ureteral perforation, avulsion, and rupture. Postoperative hematuria was observed in 2 patients. SCr increased significantly on the first day after the procedure compared with the preoperative SCr, but after 4 weeks, the renal function significantly improved (p < 0.05). The SFR was 71.6% (63/88) on the first day after the first surgical procedure; it then increased to 86.4% (76/88) in the fourth week, and rose to 97.4% (76/78) after the second operation.

CONCLUSION

The results demonstrated that FURS in combination with holmium laser lithotripsy represented a favorable less-invasive alternative with high SFR and acceptable complication rates in the treatment of bilateral upper urinary tract calculi.

Authors+Show Affiliations

Department of Urology, Peking University Shougang Hospital, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28346915

Citation

Yang, Bing, et al. "Safety and Efficacy of Flexible Ureteroscopy in Combination With Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi." Urologia Internationalis, vol. 98, no. 4, 2017, pp. 418-424.
Yang B, Ning H, Liu Z, et al. Safety and Efficacy of Flexible Ureteroscopy in Combination with Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi. Urol Int. 2017;98(4):418-424.
Yang, B., Ning, H., Liu, Z., Zhang, Y., Yu, C., Zhang, X., Pan, D., & Ding, K. (2017). Safety and Efficacy of Flexible Ureteroscopy in Combination with Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi. Urologia Internationalis, 98(4), 418-424. https://doi.org/10.1159/000464141
Yang B, et al. Safety and Efficacy of Flexible Ureteroscopy in Combination With Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi. Urol Int. 2017;98(4):418-424. PubMed PMID: 28346915.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Safety and Efficacy of Flexible Ureteroscopy in Combination with Holmium Laser Lithotripsy for the Treatment of Bilateral Upper Urinary Tract Calculi. AU - Yang,Bing, AU - Ning,Hao, AU - Liu,Zheng, AU - Zhang,Yi, AU - Yu,Chengfan, AU - Zhang,Xianghua, AU - Pan,Dongliang, AU - Ding,Kejia, Y1 - 2017/03/28/ PY - 2016/11/29/received PY - 2017/02/15/accepted PY - 2017/3/28/pubmed PY - 2018/4/17/medline PY - 2017/3/28/entrez KW - Bilateral upper urinary tract calculi KW - Flexible ureteroscopy lithotripsy KW - Holmium laser SP - 418 EP - 424 JF - Urologia internationalis JO - Urol Int VL - 98 IS - 4 N2 - OBJECTIVE: To retrospectively evaluate the safety and efficacy of flexible ureteroscopy (FURS) in combination with holmium laser lithotripsy for the treatment of bilateral upper urinary calculi. MATERIALS AND METHODS: The stone-free status was defined as the absence of any stones or asymptomatic status, or the presence of clinically insignificant residual fragments <4 mm, and was assessed by plain kidney, ureter, and bladder X-ray. The operative time, stone-free rates (SFRs), serum creatinine (SCr), and complications were recorded. RESULTS: During the operation, there was no bleeding, ureteral perforation, avulsion, and rupture. Postoperative hematuria was observed in 2 patients. SCr increased significantly on the first day after the procedure compared with the preoperative SCr, but after 4 weeks, the renal function significantly improved (p < 0.05). The SFR was 71.6% (63/88) on the first day after the first surgical procedure; it then increased to 86.4% (76/88) in the fourth week, and rose to 97.4% (76/78) after the second operation. CONCLUSION: The results demonstrated that FURS in combination with holmium laser lithotripsy represented a favorable less-invasive alternative with high SFR and acceptable complication rates in the treatment of bilateral upper urinary tract calculi. SN - 1423-0399 UR - https://www.unboundmedicine.com/medline/citation/28346915/Safety_and_Efficacy_of_Flexible_Ureteroscopy_in_Combination_with_Holmium_Laser_Lithotripsy_for_the_Treatment_of_Bilateral_Upper_Urinary_Tract_Calculi_ L2 - https://www.karger.com?DOI=10.1159/000464141 DB - PRIME DP - Unbound Medicine ER -