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Urolithiasis
Published in: Urolithiasis 4/2012

01-08-2012 | Original Paper

Ureteroscopic retrograde intrarenal surgery after previous open renal stone surgery: initial experience

Authors: Mahmoud M. Osman, Wael M. Gamal, Mohamed M. Gadelmoula, Ahmed S. Safwat, Mohamed A. Elgammal

Published in: Urolithiasis | Issue 4/2012

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Abstract

The management of renal calculi following previous open surgery represents a challenge for urologists. The aim of this study is to evaluate the outcomes and safety of ureteroscopic laser retrograde intrarenal surgery (RIRS) for renal calculi following prior open renal surgery. The charts of 53 patients who underwent RIRS for renal calculi following prior open surgery for urolithiasis were reviewed. Both flexible and semi-rigid ureteroscopes were utilized together with holmium: YAG laser for stone disintegration. Intravenous urography, computed tomography (CT) and ultrasound were used to evaluate the patient, perioperatively. Stone size ranged from 5 to 32 mm (mean 14.3 mm). The mean operative time was 86 min (20–130). The overall stone-free rate was 92.4%. The overall stone-free rates after one and two-procedures were 79.2% (42 cases) and 92.4% (49 cases), respectively. Four patients (7.5%) had larger residual fragments, 2 (3.8%) of them underwent SWL, and 2 (3.8%) cases were followed up conservatively. Major complications were reported in two patients (3.8%). Stone analysis revealed calcium oxalate in 39 patients, uric acid in 5, calcium phosphate in 4, struvite in 3, and cystine in 2 cases. Ureteroscopic retrograde intrarenal surgery for renal calculi following prior open renal surgery was a minimally invasive, safe procedure with a high success rate. It is a viable alternative for PNL in managing recurrent renal calculi efficiently.
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Metadata
Title
Ureteroscopic retrograde intrarenal surgery after previous open renal stone surgery: initial experience
Authors
Mahmoud M. Osman
Wael M. Gamal
Mohamed M. Gadelmoula
Ahmed S. Safwat
Mohamed A. Elgammal
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Urolithiasis / Issue 4/2012
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-011-0435-1

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