Conclusion: In the treatment of kidney stones with anomalies, RIRS is reliable with low complication rates, but the patient should be informed about the need for additional procedures due to low stone-free rates.
📌 3 Key Takeaways
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Objective & Hypothesis:Aim: To evaluate the results of retrograde intrarenal surgery (RIRS) in stones with anomaly in the kidney.Material and Methods: Between April 2016 and November 2018, the data of 350 patients undergoing retrograde intrarenal surgery due to kidney stones were retrospectively examined.Patients with stones in the kidney with anomalies were recorded.
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Key Findings & Data:Demographic data, localization of the stone, size, and success and complication rates were reviewed.In the post-operative controls, stones that were 2 mm and below were accepted as stone-free.Postoperative success was evaluated as stone-free at the 1st and 3rd months.Results: The mean age of the patients was 50.9 ± 15.8 (20-78).RIRS was performed in 29 kidneys with anomalies.Ten patients had horseshoe kidneys, 2 patients had ectopic pelvic kidneys, 13 patients had double collecting system and 4 patients had rotation anomalies.The mean stone size was 16.3 ± 6.1 (8-30) mm.
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Conclusion & Impact:Conclusion: In the treatment of kidney stones with anomalies, RIRS is reliable with low complication rates, but the patient should be informed about the need for additional procedures due to low stone-free rates.
🔬Design:Review & Systematic Survey
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters
Abstract
Aim: To evaluate the results of retrograde intrarenal surgery (RIRS) in stones with anomaly in the kidney.Material and Methods: Between April 2016 and November 2018, the data of 350 patients undergoing retrograde intrarenal surgery due to kidney stones were retrospectively examined.Patients with stones in the kidney with anomalies were recorded. Demographic data, localization of the stone, size, and success and complication rates were reviewed.In the post-operative controls, stones that were 2 mm and below were accepted as stone-free.Postoperative success was evaluated as stone-free at the 1st and 3rd months.Results: The mean age of the patients was 50.9 ± 15.8 (20-78).RIRS was performed in 29 kidneys with anomalies.Ten patients had horseshoe kidneys, 2 patients had ectopic pelvic kidneys, 13 patients had double collecting system and 4 patients had rotation anomalies.The mean stone size was 16.3 ± 6.1 (8-30) mm. The postoperative 1st and 3rd month stone-free rate was 48.2% and 51.7%, respectively.The complication developed in 4 (13.7%) patients. All of these were minor complications.Second procedure was applied to 14 of the remaining patients. Conclusion: In the treatment of kidney stones with anomalies, RIRS is reliable with low complication rates, but the patient should be informed about the need for additional procedures due to low stone-free rates.
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Cite This Article
ATMACA, A. F., ARDICOĞLU, A., KOÇ, E., GÖK, B., KAMACI, D., ASİL, E., ODABAŞ, Ö. (2022). Is retrograde intrarenal surgery successful in the treatment of stones in kidneys with anomalies?. Annals of Medical Research, Cilt: 27 - Sayı: 10, 2510–2514. https://ajindex.com/articles/446510
Astolfi RH, Freschi G, Berti FF, et al. Flexible ureterorenoscopy in position or fusion anomaly: Is it feasible? Rev Assoc Med Bras (1992). 2017
8 2. Wein AJ KL, Campbell MF.Campbell-Walsh Urology, 11th edn. Elsevier Saunders, Philadelphia, PA. 2015 3. Privett JT, Jeans WD, Roylance J. The incidence and importance of renal duplication. Clin Radiol. 1976
Lavan L, Herrmann T, Netsch C, et al. Outcomes of ureteroscopy for stone disease in anomalous kidneys: a systematic review. World J Urol. 2020
Bozkurt OF, Tepeler A, Sninsky B, et al. Flexible ureterorenoscopy for the treatment of kidney stone within pelvic ectopic kidney. Urology. 2014
Grasso M, Beaghler M, Loisides P. The case for primary endoscopic management of upper urinary tract calculi: II. Cost and outcome assessment of 112 primary ureteral calculi. Urology. 1995
Tepeler A, Sehgal PD, Akman T, et al. Factors affecting outcomes of percutaneous nephrolithotomy in horseshoe kidneys. Urology 2014
Sheir KZ, Madbouly K, Elsobky E, et al. Extracorporeal shock wave lithotripsy in anomalous kidneys: 11-year experience with two second-generation lithotripters. Urology. 2003
Viola D, Anagnostou T, Thompson TJ, et al. Sixteen years of experience with stone management in horseshoe kidneys. Urol Int. 2007
Giusti G, Proietti S, Peschechera R, et al. Sky is no limit for ureteroscopy: extending the indications and special circumstances. World J Urol 2015
Gross AJ, Fisher M. Management of stones in patients with anomalously sited kidneys. Curr Opin Urol 2006
Oguz U, Balci M, Atis G, et al. Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation. Urolithiasis 2014
Hartman GW, Hodson CJ. The duplex kidney and related abnormalities. Clin Radiol 1969
Barakat AJ, Drougas JG. Occurrence of congenital abnormalities of kidney and urinary tract in 13,775 autopsies. Urology 1991
Weizer AZ, Springhart WP, Ekeruo WO, et al. Ureteroscopic management of renal calculi in anomalous kidneys. Urology 2005
Molimard B, Al-Qahtani S, Lakmichi A, et al. Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. Urology. 2010
Ugurlu IM, Akman T, Binbay M, et al. Outcomes of retrograde flexible ureteroscopy and laser lithotripsy for stone disease in patients with anomalous kidneys. Urolithiasis. 2015