ORIGINAL ARTICLE |
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Year : 2022 | Volume
: 35
| Issue : 3 | Page : 1608-1612 |
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Effectiveness of single use flexible ureteroscope in treatment of less than 2cm renal stones
Baher M Abdelraouf, Mohamed A Elshazly, Hossam A Kandeel, Fouad M Zanaty
Department of Urology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Correspondence Address:
Hossam A Kandeel Shebin Elkom, Menoufia Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_317_21
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Background
The miniaturization of endourological instruments and improvements in laser lithotripsy have revolutionized the approach to renal stones. Flexible ureteroscopy (FURS) is an integral part of minimally invasive contemporary treatment of urinary stone disease.
Objective
To assess the effectiveness of FURS in the treatment of renal stones.
Patients and methods
Symptomatic patients with renal stones less than 2 cm were prospectively enrolled and treated using FURS (Boston Scientific LithoVue). Patients were considered stone free if no residual stones were seen endoscopically and radiographically after the procedure. The efficiency and the safety of the procedures were analyzed.
Results
Between June 2020 and June 2021, 50 ureteroscopic procedures were performed in our department. Holmium: yttrium-aluminum-garnet laser lithotripsy was necessary in 41 (82%) patients. The mean ± SD stone size (mm) was 14 ± 4. The overall stone-free rate after a single procedure of FURS was 76%. The remaining 12 patients had residual stones. Complications have been recorded in eight (16%) patients, including fever in six cases and gross hematuria in two cases. No major complications occurred. All patients were treated conservatively.
Conclusions
FURS is an effective treatment option in patients with renal stones. Single-procedure stone-free rates are high with a low rate of only minor complications.
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