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Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation

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Abstract

The purpose of the study was to investigate feasibility of retrograde intrarenal surgery (RIRS) in patients with isolated anomaly of kidney rotation with kidney stones. We retrospectively reviewed the medical records of patients who underwent RIRS due to kidney stones in three referral hospitals. Twenty-four patients who had kidney rotation were included in this study. The patients with horseshoe kidney or pelvic kidney were not included in the study. The patients were evaluated for final success 1 month after surgery. Success was defined as stone-free or fragment smaller than 3 mm. Mean age of patients was 39.5 years (1–71 years) and male/female ratio was 3:1. Mean stone size was 13.46 mm (5–30 mm). Twelve (50 %) patients had the operation on the right side and other 12 (50 %) patients had on the left side. Eighteen (75 %) patients were stone-free after single procedure. And stone-free rate increased to 83.3 % after additional treatment procedures. When we compared the successful and failed procedures, gender, stone side and size, preoperative hydronephrosis, access sheet usage, ureteral double-J stent insertion were not statistically significant in two groups. We did not confront major complication. RIRS seems to be an effective and safe treatment option for renal stones in patients with isolated anomaly of kidney rotation.

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Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey

    Ural Oğuz, Omer Faruk Bozkurt, Fikret Halis, Cagri Senocak & Mustafa Yordam

  2. Department of Urology, Numune Training and Research Hospital, Ankara, Turkey

    Melih Balci, Altug Tuncel & Yilmaz Aslan

  3. Department of Urology, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey

    Gokhan Atis & Turhan Caskurlu

  4. Department of Radiology, Kecioren Training and Research Hospital, Ankara, Turkey

    Ismail Okan Yildirim

  5. Department of Urology, Gazi University School of Medicine, Ankara, Turkey

    Ali Atan & Ali Unsal

Authors
  1. Ural Oğuz
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  2. Melih Balci
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  3. Gokhan Atis
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  4. Omer Faruk Bozkurt
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  5. Altug Tuncel
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  6. Fikret Halis
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  7. Yilmaz Aslan
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  8. Ismail Okan Yildirim
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  10. Mustafa Yordam
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  11. Ali Atan
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  12. Turhan Caskurlu
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  13. Ali Unsal
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Correspondence to Ural Oğuz.

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Oğuz, U., Balci, M., Atis, G. et al. Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation. Urolithiasis 42, 141–147 (2014). https://doi.org/10.1007/s00240-013-0625-0

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  • DOI: https://doi.org/10.1007/s00240-013-0625-0

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