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Management of Large Proximal Ureteral Calculi: A Three-year Multicenter Experience of Simultaneous Supine Percutaneous Nephrolithotomy and Retrograde Ureterolithotripsy.
- Source :
-
Urology Journal . Sep/Oct2019, Vol. 16 Issue 5, p433-448. 6p. - Publication Year :
- 2019
-
Abstract
- <bold>Purpose: </bold>To share our multicenter experience using a safe and effective method for treating large proximal ure-teral calculus by simultaneous supine percutaneous nephrolithotomy (sPCNL) and retrograde ureterolithotripsy (URSL) in the Galdakao-modified supine Valdivia position.<bold>Materials and Methods: </bold>Between December 2014 and August 2017, all patients with large proximal ureteral stones (> 15 mm) who underwent simultaneous sPCNL and retrograde URSL at three medical centers were retro-spectively reported. The ureter stone was pushed back (retrograde) with the ureteroscope and was retrieved using forceps with a nephroscope through an Amplatz sheath. Surgical methods and outcomes were described to improve our experience and management of large proximal ureteral calculi.<bold>Results: </bold>A total of 31 patients underwent simultaneous sPCNL and retrograde URSL. The mean patient age, stone size, operating time, and postoperative hospital stay were 57 years (range, 32-74 years), 20.1 mm (range, 15.0-37.9 mm), 81 minutes (range, 30-150), and 3.2 days (range, 2-7 days), respectively. There were 10 modified Clavien grade I and five grade II complications. No blood transfusions were necessary in this series. All patients were treated with double-J stents without a nephrostomy tube. Only one patient did not achieve stone-free status because of the strict stone impaction into the ureteral wall. This patient received auxiliary URSL after two months. Thereafter, the overall stone-clearance rate at three months was 100%.<bold>Conclusion: </bold>Our preliminary data showed that this modified method is safe and effective for treating large prox-imal ureteral stones. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17351308
- Volume :
- 16
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Urology Journal
- Publication Type :
- Academic Journal
- Accession number :
- 139303601
- Full Text :
- https://doi.org/10.22037/uj.v0i0.4328