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Journals / Endoüroloji Bülteni / 2025 / Cilt: 17 Sayı: 3

Does Timing of Retrograde Intrarenal Surgery Following Extracorporeal Shock Wave Lithotripsy Failure Influence the Outcomes?

Vücut Dışı Şok Dalga Litotripsi Başarısızlığı Sonrası Retrograd İntrarenal Cerrahinin Zamanlaması Sonuçları Etkiler mi?

Özgür Arıkan(Department of Urology, Istanbul Medeniyet University)0000-0002-4647-4864
Ferhat Keser(Department of Urology, Istanbul Medeniyet University)0000-0002-2803-6481
Ayberk İplikçi(Department of Urology, Istanbul Medeniyet University)0000-0002-5822-7799
Hüseyin Özgür Kazan(Department of Urology, Istanbul Medeniyet University)0000-0003-0202-0454
Ahmet Keleş(Department of Urology, Istanbul Medeniyet University)0000-0001-5436-1803
Ilkın Hamıdzada(Department of Urology, Istanbul Medeniyet University)0009-0000-0550-250X
Muhammet Talha Nuroğlu(Department of Urology, Istanbul Medeniyet University)0009-0000-8226-0436
Adnan Başaran(Department of Urology, Istanbul Medeniyet University)0009-0009-1098-4748
Meftun Çulpan(Department of Urology, Istanbul Medeniyet University)0000-0001-8573-1192
Asıf Yıldırım(Department of Urology, Istanbul Medeniyet University)0000-0002-3386-971X
Pages
132–138
Publication Date
2025-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: The timing of RIRS after failed SWL does not appear to impact treatment outcomes for renal stones significantly, and these findings suggest flexibility in scheduling RIRS after SWL failure.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The objective of this study is to determine the impact of the timing of retrograde intrarenal surgery (RIRS) following extracorporeal shock wave lithotripsy (SWL) on renal stone treatment outcomes.
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Key Findings & Data:Material and Methods: This retrospective study included 138 patients who underwent RIRS for renal stones after at least two failed SWL sessions between 2020 and 2024.
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Conclusion & Impact:Conclusions: The timing of RIRS after failed SWL does not appear to impact treatment outcomes for renal stones significantly, and these findings suggest flexibility in scheduling RIRS after SWL failure.
🔬Design:Araştırma Makalesi
📍Scope:2020 Verileri
⚙️Variables:endoüroloji · ekstrakorporeal şok dalga litotripsi · retrograd intrarenal cerrahi

Abstract

Objective: The objective of this study is to determine the impact of the timing of retrograde intrarenal surgery (RIRS) following extracorporeal shock wave lithotripsy (SWL) on renal stone treatment outcomes. Material and Methods: This retrospective study included 138 patients who underwent RIRS for renal stones after at least two failed SWL sessions between 2020 and 2024. Patients were divided into three groups based on the time interval between SWL and RIRS: 7-14 days (group 1), 15-22 days (group 2), and 23-30 days (group 3). Demographic data, stone characteristics, operative time, stone-free rate, and complication rates were compared. Results: Stone-free rates were similar across the three groups (group 1: 85.4%, group 2: 84.8%, group 3: 86.3%, p=0.978). There were no statistically significant differences between the groups in terms of median operative time (p=0.249), median length of hospital stays (p=0.865), perioperative complications (p=0.884), or postoperative complications (p=0.962). Conclusions: The timing of RIRS after failed SWL does not appear to impact treatment outcomes for renal stones significantly, and these findings suggest flexibility in scheduling RIRS after SWL failure.

Özet

Amaç: Bu çalışmanın amacı, ekstrakorporeal şok dalga litotripsi (SWL) sonrası retrograd intrarenal cerrahinin (RIRS) zamanlamasının böbrek taşı tedavi sonuçlarına etkisini belirlemektir. Gereç ve Yöntemler: Bu retrospektif çalışmaya, 2020 ile 2024 yılları arasında en az iki başarısız SWL seansından sonra böbrek taşları için RIRS uygulanan 138 hasta dahil edildi. Hastalar SWL ile RIRS arasındaki zaman aralığına göre üç gruba ayrıldı: 7-14 gün (Grup 1), 15-22 gün (Grup 2) ve 23-30 gün (Grup 3). Demografik veriler, taş özellikleri, operasyon süresi, taşsızlık oranı ve komplikasyon oranları karşılaştırıldı. Bulgular: Taşsızlık oranları üç grupta da benzerdi (Grup 1: %85,4, Grup 2: %84,8, Grup 3: %86,3, p=0,978). Gruplar arasında medyan ameliyat süresi (p=0,249), medyan hastanede kalış süresi (p=0,865), perioperatif komplikasyonlar (p=0,884) veya postoperatif komplikasyonlar (p=0,962) açısından istatistiksel anlamlı bir fark yoktu. Sonuç: Başarısız SWL’den sonra RIRS zamanlamasının böbrek taşları için tedavi sonuçlarını önemli ölçüde etkilemediği görülmektedir. Bu bulgular SWL başarısızlığından sonra RIRS planlamada esnek olunabileceğini göstermektedir.

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Cite This Article

Arıkan, Ö., Keser, F., İplikçi, A., Kazan, H. Ö., Keleş, A., Hamıdzada, I., Nuroğlu, M. T., Başaran, A., Çulpan, M., Yıldırım, A. (2025). Does Timing of Retrograde Intrarenal Surgery Following Extracorporeal Shock Wave Lithotripsy Failure Influence the Outcomes?. Endoüroloji Bülteni, Cilt: 17 Sayı: 3, 132–138. https://doi.org/10.54233/endourolbull-1707846

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