Simultaneous retrograde intrarenal surgery for ipsilateral asymptomatic renal stones in patients with ureteroscopic symptomatic ureteral stone removal

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• 作者：Dehui Lai ; Meiling Chen ; Yongzhong He ; Xun Li
• 关键词：Retrograde intrarenal surgery ; Asymptomatic renal stone ; Simultaneous treatment
• 刊名：BMC Urology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：332 KB
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• 刊物主题：Urology/Andrology; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2490

文摘

Background Ipsilateral asymptomatic renal stone associated with symptomatic ureteral stone is not a rare event, and the recommended treatment policy was not declared clearly. This study was conducted to compare the outcomes of simultaneous retrograde intrarenal surgery (RIRS) and ureteroscopy to ureteroscopy alone for this clinical event. Methods 415 patients with symptomatic ureteral stone and ipsilateral asymptomatic renal stones were reviewed to obtain two match groups, who were treating with simultaneous modality (group A, N--2), or ureteroscopy alone (group B, N--2). Matching criteria were ureteral and renal stone side, duration and location, the presence of pre-stented. Perioperative and postoperative characteristics were compared between the two groups. Results Mean stone burdens were similar between group A and B. Mean operative duration for group A and B were 72.4?±-1.3 and 36.4?±-0.2?min, respectively (P--.001). Mean hospital duration was 6.4?±-.9 and 5.3?±-.1?days in group A and B, respectively (P--.521). Ureteral SFR was 100% in each group. Renal SFR for RIRS was 86.1%. Complication rates in group A were higher (22.2% vs 13.9%), but the differences were not statistically significant (P--.358). In group A, complications were significantly less in pre-stented patients (3/25 vs 5/11, P--.04). Auxiliary treatment rate was significant higher in group B (69.4% vs 5.6%, P--.001) during follow-up (mean >18?months). Conclusions Simultaneous RIRS for ipsilateral asymptomatic renal stones in patients with ureteroscopic symptomatic ureteral stone removal can be performed safely and effectively. It promises a high SFR with lower auxiliary treatment rate, and does not lengthen hospital duration and increase complications.