nach oben

Erschienen in:

01.04.2014 | Original Paper

Comparison of shock wave lithotripsy, flexible ureterorenoscopy and percutaneous nephrolithotripsy on moderate size renal pelvis stones

verfasst von: Okan Bas, Hasan Bakirtas, Nevzat Can Sener, Ufuk Ozturk, Can Tuygun, H. N. Goksel Goktug, M. Abdurrahim Imamoglu

Erschienen in: Urolithiasis | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

To compare success and complication rates of shock wave lithotripsy (SWL), flexible ureterorenoscopy (F-URS) and percutaneous nephrolithotripsy (PNL) according to modified clavien grading system of renal pelvis stones between 1 and 2 cm. The results of 149 patients were evaluated retrospectively. Patients were divided into three groups as 52 for SWL, 47 for F-URS and 50 for PNL. Complications were evaluated by modified Clavien grading system. In the first group, stone-free rates after a mean of 2, 6 sessions was 86 % (45/52). In Group 2, this ratio was 91.4 % (43/47), and in Group 3, it was 98 % (49/50). The success rate in Group 3 was significantly higher than other groups. Complication rates for Group 1, 2 and 3 were 7.6 % (4/52), 6.3 % (3/47) and 12 % (6/50), respectively. Although PNL was the most successful technique compared with other techniques, complications were also higher in this group. Even though PNL is the most successful, it should be performed for selected patient groups and indications should be carefully evaluated.

Johnson CM, Wilson DM, O’Fallon WM, Malek RS, Kurland LT (1979) Renal stone epidemiology: a 25-year study in Rochester Minnesota. Kidney Int 16:624–631PubMedCrossRef

Matlaga BR, Assimos DG (2002) Changing indications of open stone surgery. Urology 59:490–493PubMedCrossRef

Hesse A, Brandle E, Wilbert D, Kohrmann KU, Alken P (2003) Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1979 vs. 2000. Eur Urol 44:709–713PubMedCrossRef

Cohen J, Cohen S, Grasso M (2013) Ureteropyeloscopic treatment of large, complex intrarenal and proximal ureteral calculi. BJU Int 111:E127–E131PubMedCrossRef

Turk C, Knoll T, Petrik A, Sarica K (2013) Guidelines on urolithiasis. European Association of Urology. http://www.uroweb.org/publications/eau-guidelines/

Clavien PA, Sanabria JR, Strasberg SM (1992) Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 111:518–526PubMed

Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213PubMedCentralPubMedCrossRef

Deem S, Defade B, Modak A, Emmett M, Martinez F, Davalos J (2011) Percutaneous nephrolithotomy versus extracorporeal shock wave lithotripsy for moderate sized kidney stones. Urology 78:739–743PubMedCrossRef

Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Turk C, Wolf JS Jr (2007) 2007 guideline for the management of ureteral calculi. J Urol 178:2418–2434PubMedCrossRef

10.

Wiesenthal JD, Ghiculete D, D’A Honey RJ, Pace KT (2011) A comparison of treatment modalities for renal calculi between 100 and 300 mm²: are shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy equivalent? J Endourol 25:481–485PubMedCrossRef

11.

Al-Ansari A, As-Sadiq K, Al-Said S, Younis N, Jaleel OA, Shokeir AA (2006) Prognostic factors of success of extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal stones. Int Urol Nephrol 38:63–67PubMedCrossRef

12.

Elkoushy MA, Hassan JA, Morehouse DD, Anidjar M, Andonian S (2011) Factors determining stone-free rate in shock wave lithotripsy using standard focus of Storz Modulith SLX-F2 lithotripter. Urology 78:759–763PubMedCrossRef

13.

Kanao K, Nakashima J, Nakagawa K, Asakura H, Miyajima A, Oya M, Ohigashi T, Murai M (2006) Preoperative nomograms for predicting stone-free rate after extracorporeal shock wave lithotripsy. J Urol 176:1453–1456PubMedCrossRef

14.

Lingeman JE, Siegel YI, Steele B, Nyhuis AW, Woods JR (1994) Management of lower pole nephrolithiasis: a critical analysis. J Urol 151:663–667PubMed

15.

Wiesenthal JD, Ghiculete D, D’A Honey RJ, Pace KT (2010) Evaluating the importance of mean stone density and skin-to-stone distance in predicting successful shock wave lithotripsy of renal and ureteric calculi. Urol Res 38:307–313PubMedCrossRef

16.

Wang LJ, Wong YC, Chuang CK, Chu SH, Chen CS, See LC, Chiang YJ (2005) Predictions of outcomes of renal stones after extracorporeal shock wave lithotripsy from stone characteristics determined by unenhanced helical computed tomography: a multivariate analysis. Eur Radiol 15:2238–2243PubMedCrossRef

17.

Abe T, Akakura K, Kawaguchi M, Ueda T, Ichikawa T, Ito H, Nozumi K, Suzuki K (2005) Outcomes of shockwave lithotripsy for upper urinary-tract stones: a large-scale study at a single institution. J Endourol 19:768–773PubMedCrossRef

18.

Egilmez T, Tekin MI, Gonen M, Kilinc F, Goren R, Ozkardes H (2007) Efficacy and safety of a new-generation shockwave lithotripsy machine in the treatment of single renal or ureteral stones: experience with 2670 patients. J Endourol 21:23–27PubMedCrossRef

19.

Afane JS, Olweny EO, Bercowsky E, Sundaram CP, Dunn MD, Shalhav AL, McDougall EM, Clayman RV (2000) Flexible ureteroscopes: a single center evaluation of the durability and function of the new endoscopes smaller than 9Fr. J Urol 164:1164–1168PubMedCrossRef

20.

Hollenbeck BK, Spencer SL, Faerber GJ (2000) Use of a working channel catheter during flexible ureteroscopic laser lithotripsy. J Urol 163:1808–1809PubMedCrossRef

21.

Atis G, Gurbuz C, Arikan O, Canat L, Kilic M, Caskurlu T (2012) Ureteroscopic management with laser lithotripsy of renal pelvic stones. J Endourol 26:983–987PubMedCrossRef

22.

Geavlete P, Seyed Aghamiri SA, Multescu R (2006) Retrograde flexible ureteroscopic approach for pyelocaliceal calculi. Urol J 3:15–19PubMed

23.

Geavlete P, Georgescu D, Nita G, Mirciulescu V, Cauni V (2006) Complications of 2735 retrograde semirigid ureteroscopy procedures: a single-center experience. J Endourol 20:179–185PubMedCrossRef

24.

Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW (1997) Ureteroscopy: current practice and long-term complications. J Urol 157:28–32PubMedCrossRef

25.

Eisenberger F, Rassweiler J, Kallert B, Bub P (1989) Treatment of staghorn calculi. Strategies and results of the combined use of new technics. Urol A 28:138–144

26.

Gu Z, Qi J, Shen H, Liu J, Chen J (2010) Percutaneous nephroscopic with holmium laser and ultrasound lithotripsy for complicated renal calculi. Lasers Med Sci 25:577–580PubMedCrossRef

27.

Kukreja R, Desai M, Patel S, Bapat S, Desai M (2004) Factors affecting blood loss during percutaneous nephrolithotomy: prospective study. J Endourol 18:715–722PubMedCrossRef

28.

Streem SB, Lammert G (1992) Long-term efficacy of combination therapy for struvite staghorn calculi. J Urol 147:563–566PubMed

29.

Meria P, Milcent S, Desgrandchamps F, Mongiat-Artus P, Duclos JM, Teillac P (2005) Management of pelvic stones larger than 20 mm: laparoscopic transperitoneal pyelolithotomy or percutaneous nephrolithotomy? Urol Int 75:322–326PubMedCrossRef

30.

Resorlu B, Unsal A, Tepeler A, Atis G, Tokatli Z, Oztuna D, Armagan A, Gurbuz C, Caskurlu T, Saglam R (2012) Comparison of retrograde intrarenal surgery and mini-percutaneous nephrolithotomy in children with moderate-size kidney stones: results of multi-institutional analysis. Urology 80:519–523PubMedCrossRef

31.

Collins JW, Keeley FX Jr, Timoney A (2004) Cost analysis of flexible ureterorenoscopy. BJU Int 93:1023–1026PubMedCrossRef

32.

Hyams ES, Matlaga BR (2013) Cost-effectiveness treatment strategies for stone disease for the practicing urologist. Urol Clin North Am 40:129–133PubMedCrossRef

Titel: Comparison of shock wave lithotripsy, flexible ureterorenoscopy and percutaneous nephrolithotripsy on moderate size renal pelvis stones
verfasst von: Okan Bas
Hasan Bakirtas
Nevzat Can Sener
Ufuk Ozturk
Can Tuygun
H. N. Goksel Goktug
M. Abdurrahim Imamoglu
Publikationsdatum: 01.04.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Urolithiasis / Ausgabe 2/2014
Print ISSN: 2194-7228
Elektronische ISSN: 2194-7236
DOI: https://doi.org/10.1007/s00240-013-0615-2

Neu im Fachgebiet Urologie

Ambulantisierung: Erste Erfahrungen mit dem Hybrid-DRG

02.05.2024 DCK 2024 Kongressbericht

Die Hybrid-DRG-Verordnung soll dazu führen, dass mehr chirurgische Eingriffe ambulant durchgeführt werden, wie es in anderen Ländern schon länger üblich ist. Die gleiche Vergütung im ambulanten und stationären Sektor hatten Niedergelassene schon lange gefordert. Aber die Umsetzung bereitet ihnen doch Kopfzerbrechen.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Harninkontinenz: Netz-Op. erfordert über lange Zeit intensive Nachsorge

30.04.2024 Harninkontinenz Nachrichten

Frauen mit Belastungsinkontinenz oder Organprolaps sind nach einer Netz-Operation keineswegs beschwerdefrei. Vielmehr scheint die Krankheitslast weiterhin hoch zu sein, sogar höher als von harninkontinenten Frauen, die sich nicht haben operieren lassen.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2014

Stone-free rate (SFR): a new proposal for defining levels of SFR

Comparison one-step procedure with two-step procedure in percutaneous nephrolithotomy

Multiple tracts percutaneous nephrolithotomy assisted by LithoClast master in one session for staghorn calculi: report of 117 cases

Panlithiasis of the urinary tract: a case for open lithotomy in the modern era