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Journals / The European Research Journal / 2021 / Cilt: 7 - Sayı: 1

A modified basket catheter technique with semi-rigid ureterorenoscopy in the prevention of migration of proximal ureteral stones

Abdullah ERDOĞAN
Ercüment KESKİN
Pages
22–28
DOI
—
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AI Summary & Key Takeaways

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

This method can be considered as an alternative in cases where FURS is not available.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Although proximal ureteral stones are common, some difficulties are encountered in semi-rigid ureterorenoscopy (URS) treatment, especially as a result of stone migration to the kidney.
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Key Findings & Data:Methods: Between September 2016 and January 2019, 101 patients over 18 years of age detected to have a maximum 15-mm proximal ureteral stone were retrospectively evaluated, and 93 patients fulfilling the criteria were included in the study.
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Conclusion & Impact:This method can be considered as an alternative in cases where FURS is not available.
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Basket catheter technique · proximal ureteral stones · semi-rigid ureterorenoscopy

Abstract

Objectives: Although proximal ureteral stones are common, some difficulties are encountered in semi-rigid ureterorenoscopy (URS) treatment, especially as a result of stone migration to the kidney. In this paper, we present a different use of a basket catheter for the treatment of proximal ureteral stones. Methods: Between September 2016 and January 2019, 101 patients over 18 years of age detected to have a maximum 15-mm proximal ureteral stone were retrospectively evaluated, and 93 patients fulfilling the criteria were included in the study. Semi-rigid URS and a modified basket catheter were used together in 44 patients while no auxiliary equipment was utilized for the remaining 49 patients. In the study group, a 3F zero-tip basket catheter was disintegrated and positioned in a way to capture and retrieve the stone from the semi-rigid ureterorenoscope. Results: No difference was found between the two groups in terms of age, body mass index, gender, and stone characteristics. The duration of operation was shorter in the basket catheter group (p < 0.001). The rates of stone migration, requirement to switch to flexible ureterorenoscopy (FURS), and double J-stent (JJ-stent) placement were significantly higher in the control group (p < 0.005). There were no significant differences between the two groups concerning operation success and complications (p = 0.068 and p = 0.772, respectively). Conclusions: The modified basket catheter technique with semi-rigid URS was successful in preventing the migration of proximal ureteral stones. This method can be considered as an alternative in cases where FURS is not available.

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Cite This Article

ERDOĞAN, A., KESKİN, E. (2021). A modified basket catheter technique with semi-rigid ureterorenoscopy in the prevention of migration of proximal ureteral stones. The European Research Journal, Cilt: 7 - Sayı: 1, 22–28. https://ajindex.com/articles/361195

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