Comparison of Efficacy and Complications of Holmium Laser and Pneumatic Lithotripters Used in the Ureterorenoscopic Treatment of Proximal Ureter Stones, a Multi-Center Study of Society of Urological Surgery Aegean Study Group

Objective:The aim of this study is to compare the efficacy and complications of holmium laser and pneumatic lithotripsy used in the ureterorenoscopic treatment of proximal ureteral stones. Materials and Methods: Data of 638 patients, who underwent ureterorenoscopy (URS) due to proximal ureteral stones in different centers, were obtained from patient files. The patients were divided into two groups according to the type of lithotripter used: group 1; laser lithotripter (n=324; 50.8%) and group 2; pneumatic lithotripter (n=314; 49.2%). URS was considered successful upon determination stone-free status with the imaging methods after treatment. The effectiveness and the complications of holmium:yttrium-aluminum-garnet laser and pneumatic lithotripsy were compared. Results: The total success rate of URS was 82.6% and the complication rate was 8.1%. The mean age of patients was similar between the groups; however, the body mass index values, stone surface area and stone Hounsfield unit were significantly higher in group 1. Although the mean operative time, complication rate and the mean length of hospital stay were similar between the groups; the URS success and postoperative ureteral J stent use rates were significantly higher in group 1 and the push-back rate was significantly higher in group 2. Conclusion: If laser lithotripsy is available in a clinic, we believe that it is better to use it as the first option in the treatment of proximal ureter stones. However, considering that it is not easy to access laser lithotripters due to their high cost in Turkey, pneumatic lithotripters may be an effective and inexpensive alternative that can also be safely used in these cases.

Yazar Irer, Bora
Sen, Volkan
Erbatu, Oguzcan
Yildiz, Alperen
Ongun, Sakir
Cinar, Onder
Cihan, Ahmet
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2268
Tek Biçim Adres 10.4274/jus.2143
Konu Başlıkları Complication
Laser lithotripter
Pneumatic lithotripter
Proximal ureter stone
Ureter stone
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF UROLOGICAL SURGERY
Dergi Cilt Bilgisi 5
Dergi Sayısı 3
Sayfalar 158 - 163
Yayın Yılı 2018
Eser Adı
[dc.title]
Comparison of Efficacy and Complications of Holmium Laser and Pneumatic Lithotripters Used in the Ureterorenoscopic Treatment of Proximal Ureter Stones, a Multi-Center Study of Society of Urological Surgery Aegean Study Group
Yazar
[dc.contributor.author]
Irer, Bora
Yazar
[dc.contributor.author]
Sen, Volkan
Yazar
[dc.contributor.author]
Erbatu, Oguzcan
Yazar
[dc.contributor.author]
Yildiz, Alperen
Yazar
[dc.contributor.author]
Ongun, Sakir
Yazar
[dc.contributor.author]
Cinar, Onder
Yazar
[dc.contributor.author]
Cihan, Ahmet
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
GALENOS YAYINCILIK
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective:The aim of this study is to compare the efficacy and complications of holmium laser and pneumatic lithotripsy used in the ureterorenoscopic treatment of proximal ureteral stones. Materials and Methods: Data of 638 patients, who underwent ureterorenoscopy (URS) due to proximal ureteral stones in different centers, were obtained from patient files. The patients were divided into two groups according to the type of lithotripter used: group 1; laser lithotripter (n=324; 50.8%) and group 2; pneumatic lithotripter (n=314; 49.2%). URS was considered successful upon determination stone-free status with the imaging methods after treatment. The effectiveness and the complications of holmium:yttrium-aluminum-garnet laser and pneumatic lithotripsy were compared. Results: The total success rate of URS was 82.6% and the complication rate was 8.1%. The mean age of patients was similar between the groups; however, the body mass index values, stone surface area and stone Hounsfield unit were significantly higher in group 1. Although the mean operative time, complication rate and the mean length of hospital stay were similar between the groups; the URS success and postoperative ureteral J stent use rates were significantly higher in group 1 and the push-back rate was significantly higher in group 2. Conclusion: If laser lithotripsy is available in a clinic, we believe that it is better to use it as the first option in the treatment of proximal ureter stones. However, considering that it is not easy to access laser lithotripters due to their high cost in Turkey, pneumatic lithotripters may be an effective and inexpensive alternative that can also be safely used in these cases.
Açıklama
[dc.description]
WOS: 000444033700004
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Complication
Konu Başlıkları
[dc.subject]
Laser lithotripter
Konu Başlıkları
[dc.subject]
Pneumatic lithotripter
Konu Başlıkları
[dc.subject]
Proximal ureter stone
Konu Başlıkları
[dc.subject]
Ureter stone
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2148-9580
İlk Sayfa Sayısı
[dc.identifier.startpage]
158
Son Sayfa Sayısı
[dc.identifier.endpage]
163
Dergi Adı
[dc.relation.journal]
JOURNAL OF UROLOGICAL SURGERY
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
5
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4274/jus.2143
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2268
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
24
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 07:25
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Tıklayınız
pneumatic patients lithotripter higher significantly stones ureteral lithotripsy groups proximal treatment complication complications between similar lithotripters holmium success Conclusion push-back Objective postoperative hospital length operative available Hounsfield Although option safely alternative inexpensive effective Turkey clinic
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