Does Previous Failed Shockwave Lithotripsy Treatment Have an Influence on Retrograde Intrarenal Surgery Outcome?

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dc.authoridIMAMOGLU, MUHAMMET ABDURRAHIM/0000-0003-3848-7312
dc.authoridSELMI, VOLKAN/0000-0003-2605-9935
dc.contributor.authorSelmi, Volkan
dc.contributor.authorSari, Sercan
dc.contributor.authorCakici, Mehmet Caglar
dc.contributor.authorOzdemir, Harun
dc.contributor.authorKartal, Ibrahim Guven
dc.contributor.authorOzok, Hakki Ugur
dc.contributor.authorImamoglu, Muhammet Abdurrahim
dc.date.accessioned2024-09-29T16:03:06Z
dc.date.available2024-09-29T16:03:06Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground: The prevalence of urolithiasis is nearly 20% and patients with urolithiasis constitute an essential part of the patients referred to the urology clinic. Many parameters should be considered for the management of renal stones and authors recommend extracorporeal shockwave lithotripsy (SWL), retrograde intrarenal surgery (RIRS), and percutaneous nephrolithotripsy (PNL), as treatment options. Among these techniques, SWL does not require general anesthesia, has 89% success rate for renal pelvic stones: 83% for upper caliceal stones, 84% for middle caliceal stones, and 68% for lower caliceal stones. In this study, we aimed to investigate whether the previously failed SWL treatment affects RIRS outcome. Methods: Patients who underwent RIRS for kidney stones between January 2012 and December 2017 in Diskapi Yildirim Beyazit Training and Research Hospital were reviewed retrospectively. Patients treated with primary RIRS (186 patients) were classified as Group 1. The outcomes of these patients were compared with those of 186 patients who underwent RIRS after failed SWL treatment using matched-pair analysis, and these patients were classified as Group 2. Results: The procedure success was defined as the sum of the stone-free and clinically insignificant residual fragments (CIRFs); final success rates were 90.3% and 91.9%, respectively. If we compare the final success rates, there was no statistically significant difference between both groups (P=.584). Conclusions: As a result, there is no negative effect of the previous unsuccessful SWL treatment on the RIRS success. Patients with CIRF should be followed up more carefully in terms of becoming symptomatic.en_US
dc.identifier.doi10.1089/lap.2018.0487
dc.identifier.endpage630en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue5en_US
dc.identifier.pmid30418090en_US
dc.identifier.scopus2-s2.0-85065539754en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage627en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2018.0487
dc.identifier.urihttps://hdl.handle.net/20.500.14619/5904
dc.identifier.volume29en_US
dc.identifier.wosWOS:000449800400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecturolithiasisen_US
dc.subjectretrogradeen_US
dc.subjectintrarenal surgeryen_US
dc.subjectureteroscopyen_US
dc.subjectshockwaveen_US
dc.subjectfaileden_US
dc.titleDoes Previous Failed Shockwave Lithotripsy Treatment Have an Influence on Retrograde Intrarenal Surgery Outcome?en_US
dc.typeArticleen_US

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