Dergiler / International Journal of Nature and Life Sciences / 2024 / Volume: 8 Issue: 2

Extrarenal Stone Migration After PNL and RIRS: Effectiveness of Conservative Follow-up in Light of Literature

Ahmet Baytok(Karapınar State Hospital, Radiology department)0000-0003-1615-5771
Gökhan Ecer(Karapınar State Hospital, Urology department)0000-0002-2805-8664
Sayfa
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Yayın Tarihi
2024-12-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

This study emphasizes conservative treatment strategies, especially in patients with asymptomatic extrarenal stone migration.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:This study aims to evaluate rare cases of extrarenal stone migration after endoscopic stone surgery in light of the literature.
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Temel Bulgular & Veri:In this case report, extrarenal stone migration was detected in a 43-year-old man who had previously undergone PNL and RIRS, but since the patient was asymptomatic, conservative follow-up was applied instead of surgical intervention.
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Sonuç & Katkı:This study emphasizes conservative treatment strategies, especially in patients with asymptomatic extrarenal stone migration.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Extrarenal Stone Migration · Percutaneous nephrolithotomy · Extraureteral stone

Abstract

This study aims to evaluate rare cases of extrarenal stone migration after endoscopic stone surgery in light of the literature. Complications such as stone migration can rarely be seen after flexible ureterorenoscopy (RIRS) and percutaneous nephrolithotomy (PNL), which are widely used in the treatment of urolithiasis. In this case report, extrarenal stone migration was detected in a 43-year-old man who had previously undergone PNL and RIRS, but since the patient was asymptomatic, conservative follow-up was applied instead of surgical intervention. In the patient's CT scans, it was seen that the stone was lateral to the psoas major muscle and did not cause significant inflammation or edema in the surrounding tissues. When the cases in the literature were examined, extrarenal stone migration is usually associated with symptoms such as pain, infection or loss of renal function and requires surgery, but in this case, surgery was not applied due to the asymptomatic course. This situation shows the importance of conservative approaches and that they can be an alternative to surgery. In conclusion, the increase in such cases reported in the literature may guide the management of extrarenal stone complications. This study emphasizes conservative treatment strategies, especially in patients with asymptomatic extrarenal stone migration.

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Bu Makaleye Atıf Yap

Baytok, A., Ecer, G. (2024). Extrarenal Stone Migration After PNL and RIRS: Effectiveness of Conservative Follow-up in Light of Literature. International Journal of Nature and Life Sciences, Volume: 8 Issue: 2. https://doi.org/10.47947/ijnls.1581596

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Kaynakça (17)

  1. Akbulut, F., Ucpinar, B., Savun, M., Kucuktopcu, O., Ozgor, F., Simsek, A., & Gurbuz, G. (2015). A major complication in micropercutaneous nephrolithotomy: upper calyceal perforation with extrarenal migration of stone fragments due to increased intrarenal pelvic pressure. Case Reports in Urology, 2015 (1), 792780. https://doi.org/10.1155/2015/792780
  2. Akman, T., Sari, E., Binbay, M., Yuruk, E., Tepeler, A., Kaba, M., & Tefekli, A. (2010). Comparison of outcomes after percutaneous nephrolithotomy of staghorn calculi in those with single and multiple accesses. Journal of Endourology, 24 (6), 955-960. https://doi.org/10.1089/end.2009.0456
  3. Assimos, D., Krambeck, A., Miller, N. L., Monga, M., Murad, M. H., Nelson, C. P., & Preminger, G. M. (2016). Surgical management of stones: American Urological Association / Endourological Society Guideline, Part I. Journal of Urology, 196 (4), 1153-1160. https://doi.org/10.1016/j.juro.2016.05.090
  4. De La Rosette, J. J., Laguna, M. P., Rassweiler, J. J., & Conort, P. (2008). Training in percutaneous nephrolithotomy—a critical review. European Urology, 54 (5), 994-1003. https://doi.org/10.1016/j.eururo.2008.03.052
  5. Diri, A., Karakan, T., Resorlu, M., Kabar, M., & Germiyanoglu, C. (2014). Intraperitoneal stone migration during percutaneos nephrolithotomy. Archivio Italiano di Urologia e Andrologia, 86 (4), 293-294. https://doi.org/10.4081/aiua.2014.4.293
  6. Ecer, G., Sönmez, M. G., Aydın, A., Topçu, C., Alalam, H. N. I., Güven, S., & Balasar, M. (2022). Comparison of retrograde intrarenal stone surgery with and without a ureteral access sheath using kidney injury molecule-1 (KIM-1) levels: a prospective randomized study. Urolithiasis, 50 (5), 625-633. https://doi.org/10.1007/s00240-022-01345-y
  7. Erol, E., Ecer, G., Kiremit, M. C., Gokce, M. İ., Balasar, M., Sarikaya, A. F., & Sarica, K. (2024). Multicentric evaluation of high and low power lasers on RIRS success using propensity score analysis. Urolithiasis, 52 (1), 32. https://doi.org/10.1007/s00240-024-01535-w
  8. Harmon, W. J., Sershon, P. D., Blute, M. L., Patterson, D. E., & Segura, J. W. (1997). Ureteroscopy: current practice and long-term complications. The Journal of Urology, 157 (1), 28-32. https://doi.org/10.1016/s0022-5347(01)65272-8
  9. Jung, H., Nørby, B., Frimodt-Møller, P. C., & Osther, P. J. (2008). Endoluminal isoproterenol irrigation decreases renal pelvic pressure during flexible ureterorenoscopy: a clinical randomized, controlled study. European Urology, 54 (6), 1404-1413. https://doi.org/10.1016/j.eururo.2008.03.092
  10. Lopez-Alcina, E., Broseta, E., Oliver, F., Boronat, F., & Jiménez-Cruz, J. F. (1998). Paraureteral extrusion of calculi after endoscopic pulsed-dye laser lithotripsy. Journal of Endourology, 12 (6), 517-521. https://doi.org/10.1089/end.1998.12.517
  11. Moretti, K., Kellett, M., & Miller, R. (1989). Percutaneous removal of “extra-renal” residual urinary calculus. Urology, 33 (3), 202-203. https://doi.org/10.1016/0090-4295(89)90391-9
  12. Moretti, K., Miller, R., Kellett, M., & Wickham, J. (1991). Extrusion of calculi from upper urinarytract into perinephric and periureteric tissues during endourologic stone surgery. Urology, 38 (5), 447-449. https://doi.org/10.1016/0090-4295(91)80235-y
  13. Seitz, C., Desai, M., Häcker, A., Hakenberg, O. W., Liatsikos, E., Nagele, U., & Tolley, D. (2012). Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. European Urology, 61 (1), 146-158. https://doi.org/10.1016/j.eururo.2011.09.016
  14. Suh, L. K., Rothberg, M. B., Landman, J., Katsumi, H., & Gupta, G. (2010). Intrarenal pressures generated during deployment of various antiretropulsion devices in an ex vivo porcine model. Journal of Endourology, 24 (7), 1165-1168. https://doi.org/10.1089/end.2010.0118
  15. Türk, C., Petřík, A., Sarica, K., Seitz, C., Skolarikos, A., Straub, M., & Knoll, T. (2016). EAU guidelines on interventional treatment for urolithiasis. European Urology, 69 (3), 475-482. https://doi.org/10.1016/j.eururo.2015.07.041
  16. Verstandig, A., Banner, M., Van Arsdalen, K., & Pollack, H. J. R. (1986). Upper urinary tract calculi: extrusion into perinephric and periureteric tissues during percutaneous management. Radiology, 158 (1), 215-218. https://doi.org/10.1148/radiology.158.1.3940385
  17. Wollin, D. A., & Preminger, G. M. (2018). Percutaneous nephrolithotomy: complications and how to deal with them. Urolithiasis, 46 (1), 87-97. https://doi.org/10.1007/s00240-017-1022-x