Bilateral same-session ureterorenoscopy: A feasible approach to treat pan-urinary stone disease

To assess treatment effectiveness and safety of bilateral same-session ureterorenoscopy (BSSU) for the management of stone disease involving the entire urinary system. We reviewed the records of 64 patients who underwent BSSU for the treatment of bilateral ureteric and/or kidney stones. Size, number...

Full description

Saved in:
Bibliographic Details
Published in:Arab Journal of Urology 2017-12, Vol.15 (4), p.299-305
Main Authors: Özveren, Bora, Eren, Murat Tugrul, Özveri, Hakan, Altuğ, Uğur, Şahin, Ahmet
Format: Article
Language:English
Subjects:
ASA, American Society of Anesthesiologists
Bilateral
BSSU, bilateral same-session ureteroscopy
Flexible ureterorenoscopy
Kidney stones, ureter stones
KUB, kidney-ureter-bladder radiograph
LOS, length of hospital stay
PCNL, percutaneous nephrolithotomy
SFR, stone-free rate
Stones/Endourology
SWL, shockwave lithotripsy
Treatment outcomes
Ureteroscopy
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To assess treatment effectiveness and safety of bilateral same-session ureterorenoscopy (BSSU) for the management of stone disease involving the entire urinary system. We reviewed the records of 64 patients who underwent BSSU for the treatment of bilateral ureteric and/or kidney stones. Size, number, location per side, and the total burden of stones were recorded. Data on stenting, lithotripsy, and stone retrieval, and details of hospital stay and operation times were investigated. Treatment results were assessed using intraoperative findings and postoperative imaging. The outcome was considered successful in patients who were completely stone-free or who had only residual fragments of ≤2 mm. The outcome was successful in 82.8% of the patients who received BSSU (54.7% stone-free and 28.1% insignificant residual fragments). The success rate per renal unit was 89.8%. There were no adverse events in 73.4% of the patients. The most common intraoperative complication was mucosal injury (36%). The complications were Clavien-Dindo Grade I in 9.4% and Grade II in 7.8%. Grade IIIa and IIIb (9.4%) complications required re-treatments. Statistical evaluation showed no association between complication grades and stone, patient, or operation features. Stone burden had no negative impact on BSSU results. The presence of impacted proximal ureteric stones was significantly related to unsuccessful outcomes. BSSU is safe and effective for the management of bilateral urolithiasis. BSSU can prevent recurrent surgeries, reduce overall hospital stay, and achieve a stone-free status and complication rates that are comparable to those of unilateral or staged bilateral procedures.
ISSN:2090-598X
2090-598X
2090-5998
DOI:10.1016/j.aju.2017.09.001