A comparison of standard PCNL and staged retrograde FURS in pelvis stones over 2 cm in diameter: a prospective randomized study

The aim of the study was to compare percutaneous nephrolithotomy (PCNL) and staged retrograde flexible ureteroscopy (FURS) methods used in the treatment of kidney stones of 2 cm or more in diameter. The study comprised a total of 60 patients with a diagnosis of kidney pelvic stones more than 2 cm in...

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Bibliographic Details
Published in:Urolithiasis 2015-06, Vol.43 (3), p.283-287
Main Authors: Karakoyunlu, Nihat, Goktug, Goksel, Şener, Nevzat Can, Zengin, Kursad, Nalbant, Ismail, Ozturk, Ufuk, Ozok, Ugur, Imamoglu, Abdurrahim
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Kidney Calculi - diagnostic imaging
Kidney Calculi - surgery
Kidney Pelvis - diagnostic imaging
Male
Medical Biochemistry
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Nephrostomy, Percutaneous - statistics & numerical data
Operative Time
Original Paper
Prospective Studies
Radiography
Ureteroscopy - methods
Ureteroscopy - statistics & numerical data
Urology
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Summary:The aim of the study was to compare percutaneous nephrolithotomy (PCNL) and staged retrograde flexible ureteroscopy (FURS) methods used in the treatment of kidney stones of 2 cm or more in diameter. The study comprised a total of 60 patients with a diagnosis of kidney pelvic stones more than 2 cm in diameter, for whom surgery was planned between January 2013 and January 2014. The patients were randomly allocated to two groups as staged retrograde FURS (Group A) and PCNL (Group B). Comparison of the groups was made with respect to operating time, number of procedures, total treatment time, length of hospital stay, stone-free rates and complications according to the Clavien–Dindo classification. In Group A, the total operating time of multiple sessions was 114.46 min. In Group B, a single session of PCNL was applied to all patients and the mean operating time was 86.8 min ( p  = 0.014). Mean total treatment time was 2.01 weeks in Group A and 1 week in Group B ( p  
ISSN:2194-7228
2194-7236
DOI:10.1007/s00240-015-0768-2