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Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study
INTRODUCTION: The general prevalence of bilateral urolithiasis has risen to 15% and bilateral non-simultaneous treatment has been reported to have good outcomes. The objective of this study was to evaluate the effectiveness and safety of simultaneous bilateral endoscopic surgery (SBES). MATERIAL AND...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Polish Urological Association
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715093/ https://www.ncbi.nlm.nih.gov/pubmed/31482026 http://dx.doi.org/10.5173/ceju.2019.1862 |
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author | Angerri, Oriol Mayordomo, Olga Kanashiro, Andres Koey Millan-Rodriguez, Felix Sanchez-Martin, Francisco Maria Cho, Sung-Yo Schreter, Eran Sofer, Mario Bin-Hamri, Saeed Alasker, Ahmed Tanidir, Yiloren Sener, Tarik Emre Kalidonis, Panagiotis Palou-Redorta, Joan Emiliani, Esteban |
author_facet | Angerri, Oriol Mayordomo, Olga Kanashiro, Andres Koey Millan-Rodriguez, Felix Sanchez-Martin, Francisco Maria Cho, Sung-Yo Schreter, Eran Sofer, Mario Bin-Hamri, Saeed Alasker, Ahmed Tanidir, Yiloren Sener, Tarik Emre Kalidonis, Panagiotis Palou-Redorta, Joan Emiliani, Esteban |
author_sort | Angerri, Oriol |
collection | PubMed |
description | INTRODUCTION: The general prevalence of bilateral urolithiasis has risen to 15% and bilateral non-simultaneous treatment has been reported to have good outcomes. The objective of this study was to evaluate the effectiveness and safety of simultaneous bilateral endoscopic surgery (SBES). MATERIAL AND METHODS: An international multicenter analysis was performed between May 2015 and December 2017. All patients with bilateral stone disease that underwent SBES were included. Patients were treated under general anesthesia in either the supine or lithotomy position. Demographic, clinical, intraoperative and postoperative data were analyzed. RESULTS: A total of 47 patients were included. Mean age was 53.8 years and 70% of the patients were males. The mean American Society of Anesthesiology (ASA) score was 2. The mean diameter of right- and left-sided stones was 29.43 mm (2–83 mm) and 31.15 (4–102 mm), respectively. Staghorn stones were treated in 18 cases (8 right-sided and 10 left-sided), four of them were defined as complete staghorn. The procedures performed were 42 cases of bilateral URS and PCNL and ureteroscopy. Additionally, 5 bilateral flexible ureteroscopy (fURS) cases were described. Intraoperative complications occurred in five patients: four of them were classified as Clavien-Dindo (CD) I and one as CD II. Postoperatively, there were two cases with CD I, 6 with CD II and one CD IIIa. The stone-free status was 70%. Residual stones (30%) were detected only on the side treated for high-volume (complete) staghorn calculi. CONCLUSIONS: SBES is a feasible, effective and safe procedure. It may potentially avoid repeated anesthetic sessions as needed for staged procedures and reduce the length of patients' hospital stay. |
format | Online Article Text |
id | pubmed-6715093 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Polish Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-67150932019-09-03 Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study Angerri, Oriol Mayordomo, Olga Kanashiro, Andres Koey Millan-Rodriguez, Felix Sanchez-Martin, Francisco Maria Cho, Sung-Yo Schreter, Eran Sofer, Mario Bin-Hamri, Saeed Alasker, Ahmed Tanidir, Yiloren Sener, Tarik Emre Kalidonis, Panagiotis Palou-Redorta, Joan Emiliani, Esteban Cent European J Urol Original Paper INTRODUCTION: The general prevalence of bilateral urolithiasis has risen to 15% and bilateral non-simultaneous treatment has been reported to have good outcomes. The objective of this study was to evaluate the effectiveness and safety of simultaneous bilateral endoscopic surgery (SBES). MATERIAL AND METHODS: An international multicenter analysis was performed between May 2015 and December 2017. All patients with bilateral stone disease that underwent SBES were included. Patients were treated under general anesthesia in either the supine or lithotomy position. Demographic, clinical, intraoperative and postoperative data were analyzed. RESULTS: A total of 47 patients were included. Mean age was 53.8 years and 70% of the patients were males. The mean American Society of Anesthesiology (ASA) score was 2. The mean diameter of right- and left-sided stones was 29.43 mm (2–83 mm) and 31.15 (4–102 mm), respectively. Staghorn stones were treated in 18 cases (8 right-sided and 10 left-sided), four of them were defined as complete staghorn. The procedures performed were 42 cases of bilateral URS and PCNL and ureteroscopy. Additionally, 5 bilateral flexible ureteroscopy (fURS) cases were described. Intraoperative complications occurred in five patients: four of them were classified as Clavien-Dindo (CD) I and one as CD II. Postoperatively, there were two cases with CD I, 6 with CD II and one CD IIIa. The stone-free status was 70%. Residual stones (30%) were detected only on the side treated for high-volume (complete) staghorn calculi. CONCLUSIONS: SBES is a feasible, effective and safe procedure. It may potentially avoid repeated anesthetic sessions as needed for staged procedures and reduce the length of patients' hospital stay. Polish Urological Association 2019-05-30 2019 /pmc/articles/PMC6715093/ /pubmed/31482026 http://dx.doi.org/10.5173/ceju.2019.1862 Text en Copyright by Polish Urological Association http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Angerri, Oriol Mayordomo, Olga Kanashiro, Andres Koey Millan-Rodriguez, Felix Sanchez-Martin, Francisco Maria Cho, Sung-Yo Schreter, Eran Sofer, Mario Bin-Hamri, Saeed Alasker, Ahmed Tanidir, Yiloren Sener, Tarik Emre Kalidonis, Panagiotis Palou-Redorta, Joan Emiliani, Esteban Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title | Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title_full | Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title_fullStr | Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title_full_unstemmed | Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title_short | Simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
title_sort | simultaneous and synchronous bilateral endoscopic treatment of urolithiasis: a multicentric study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715093/ https://www.ncbi.nlm.nih.gov/pubmed/31482026 http://dx.doi.org/10.5173/ceju.2019.1862 |
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