Medical & Surgical Urology
Open Access
ISSN: 2168-9857
+44-77-2385-9429
ISSN: 2168-9857
+44-77-2385-9429
John Varkarakis
Greece
Research Article
Semirigid Laser Ureterolithotripsy for Single Large Renal Pelvic Stones
Author(s): Iraklis C Mitsogiannis, Athanasios Papatsoris, John Varkarakis, Andreas Skolarikos and Charalampos DeliveliotisIraklis C Mitsogiannis, Athanasios Papatsoris, John Varkarakis, Andreas Skolarikos and Charalampos Deliveliotis
Background and purpose: Large stones located at the renal pelvis are usually managed with Percutaneous Nephrolithotomy (PCNL); however this procedure carries both a substantial morbidity and a considerable risk for complications. Our objective was to assess the safety and efficacy of semirigid ureteroscopy (S-URS) and laser lithotripsy for the treatment of single large (>1.5 cm) pelvic stones.
Patients and methods: Twenty patients (12 women and 8 men, aged 54-72 years) with isolated renal pelvic stone (mean size: 2.1 cm, range: 1.5-3 cm) underwent S-URS under general anesthesia, over a 2-year period (January 2010 to January 2012). Holmium:yttrium-aluminum-garnet (Ho:YAG) laser was used for the stone fragmentation. In all cases the ureters were stented following completion of the operation. Preoperative data, .. View More»
DOI:
10.4172/2168-9857.S4-002