Authors: Berkan Resorlu Ali Unsal Tevfik Ziypak Akif Diri Gokhan Atis Selcuk Guven Ahmet Ali Sancaktutar Abdulkadir Tepeler Omer Faruk Bozkurt Derya Oztuna
Publish Date: 2012/11/22
Volume: 31, Issue: 6, Pages: 1581-1586
Abstract
A total of 437 patients at 7 institutions who underwent SWL n = 251 PNL n = 140 or RIRS n = 46 were enrolled in our study Clinical success was defined as stonefree status or asymptomatic insignificant residual fragments 3 mm The success rates auxiliary procedures and complications were compared in each groupSuccess rates were 665 914 and 87 for SWL PNL and RIRS p 0001 The need for auxiliary procedures was more common after SWL than PNL and RIRS 219 vs 57 vs 87 respectively p 0001 The overall complication rates for the SWL PNL and RIRS were 76 221 and 109 respectively p 0001 Thirteen patients in PNL group received blood transfusions while none of the patients in RIRS and SWL groups transfused Hospitalization time per patient was 13 ± 05 days in the RIRS group while it was 26 ± 09 days in the PNL group p 0001 Fluoroscopy and operation time were significantly longer in the PNL group compared to RIRS 1457 ± 1017 vs 287 ± 187 s and 575 ± 221 vs 431 ± 17 min respectivelyFor treatment of moderatesized radiolucent renal stones RIRS and PNL provide significantly higher success and lower retreatment rate compared with SWL Although PNL is effective its biggest drawback is its invasiveness Blood loss radiation exposure hospital stay and morbidities of PNL can be significantly reduced with RIRS technique
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