Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis

Journal of Urological Surgery

article

Sercan Sarı¹  Mehmet Çağlar Çakıcı²  Aykut Aykaç³  Özer Baran³  İbrahim Güven Kartal⁴  Hakkı Uğur Özok³  Ahmet Nihat Karakoyunlu⁴  Azmi Levent Sağnak⁴ 

[1] Yozgat Bozok University Faculty of Medicine, Department of Urology;Medeniyet University Göztepe Training and Research Hospital, Clinic of Urology;Karabuk University Faculty of Medicine, Department of Urology Karabük;University of Health Science Turkiye, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Urology

关键词: Anomalous;    Matched pair;    RIRC;   

DOI  :  10.4274/jus.galenos.2020.3146

学科分类：社会科学、人文和艺术（综合）

来源: Galenos Yayinevi

【 摘 要 】

Objective: To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones. Materials and Methods: Between 2012 and 2018, patient data was reviewed retrospectively and 1700 procedures were taken into consideration. Forty-seven anomalous kidney stones were included in the study (group A). In these patients, 18 had calyx diverticulum, 12 had horseshoe kidney, 8 had ureteral duplication, 2 had ectopic kidneys, 1 had malrotation, and 1 had bifid pelvis. After making a matched pair analysis, 47 normal kidney stones with similar demographic and stone characteristics were included in our study (group N). Demographic, stone, intraoperative and postoperative data were recorded. We compared these groups regarding efficiency and safety. Results: Average scope time, hospitalization time, and postoperative double J-stent rate were higher in group A. The difference was statistically insignificant (p>0.05). Ureteral access sheath usage was higher in group N, though the difference was statistically insignificant (p=0.63). Stonefree rates and success rates were higher in group N though the difference was not statistically significant (p>0.05). The rate of complications was statistically significantly higher in group A (p=0.02). Conclusion: RIRS can be used in the management of anomalous kidney stones. It is an efficient and safe method. Prospective and larger patient numbered studies are needed.

【 授权许可】

CC BY-NC-ND