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- Title
Can Bilateral Ureter Stones Be Treated Safely and Effectively With One Session Ureteroscopy?
- Authors
Şahin, Mehmet Oğuz; Şen, Volkan; İrer, Bora; Yıldız, Güner
- Abstract
Objective: We aimed to investigate the efficacy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi. Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bilateral ureteral stones in single session (group 2) were compared in terms of demographic data, urinary stone disease history, stone characteristics and operation outcomes. Results: There were 582 (69.2%) male and 259 (30.8%) female patients in group 1, 27 (65.9%) male and 14 (34.1%) female patients in group 2. The stone area was calculated as 70.9±52.6 mm2 in Group 1 while 271.1±180.2 mm2 in Group 2 cumulatively and it was significantly larger than Group 1 (p=0.001). Mean operation time was also longer in Group 2 (Group 1: 36.0±19.3 min and Group 2: 48.9±23.7 min; p=0.001). General anesthesia was preferred in 50 patients (5.9%) in Group 1 and 7 (17.1%) patients in group 2 (p=0.013). A total of 127 (15.1%) patients needed analgesia at postoperative first day in Group 1 and 12 (29.3%) patients in Group 2 (p=0.025). The hospitalization times and stone free rates were similar between the groups (1.4±1.3 vs 2.1±2.6 days; p=0.082 and 90.6% vs 85.4%; p=0.274). No complication was found in 816 (97.0%) patients in Group 1 and 40 (97.6%) patients in Group 2 (p = 0.970). Conclusion: We believe that bilateral URS in the same session is an effective and reliable method in the treatment of bilateral ureter stones.
- Subjects
URETEROSCOPY; URINARY calculi; TREATMENT of calculi; GENERAL anesthesia; POSTOPERATIVE period
- Publication
Yeni Üroloji Dergisi, 2021, Vol 16, Issue 1, p12
- ISSN
1305-2489
- Publication type
Article
- DOI
10.33719/yud.699109