Contemporary management of medium-sized (10-20mm) renal stones: A retrospective multicenter observational study

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dc.authorid0000-0002-5009-8435
dc.authorid0000-0001-8014-2321
dc.authorid0000-0002-4245-7506
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorGüven, Selçuk
dc.contributor.authorSarıca, Kemal
dc.contributor.authorÖztürk, Ahmet
dc.contributor.authorBuldu, İbrahim
dc.contributor.authorKafkaslı, Alper
dc.contributor.authorBalasar, Mehmet
dc.contributor.authorİstanbulluoğlu, Okan
dc.contributor.authorHoruz, Rahim
dc.contributor.authorÇetinel, Cihangir Ali
dc.contributor.authorKandemir, Abdulkadir
dc.contributor.authorAlbayrak, Selami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:03Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:03Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000362081600015
dc.descriptionPubMed ID: 25578510
dc.description.abstractPurpose: To evaluate contemporary management approaches to medium-sized (10-20mm) renal stones. Patients and Methods: A total of 935 patients treated for medium-sized renal stones (10-20mm) between July 2012 and March 2014 were included in the study program. Contemporary minimally invasive approaches applied in the management of such stones were evaluated and compared. Results: The cohort consisted of 561 male (60%) and 374 female (40%) patients. Of the 935 patients with medium-sized renal calculi, 535 (57.2%) were treated with shockwave lithotripsy (SWL), 201 (21.4%) with retrograde intrarenal surgery (RIRS), 110 (11.7%) with minimally invasive percutaneous nephrolithotomy (miniperc), and the remaining 89 (11.7%) patients with micropercutaneous nephrolithotomy (microperc). In the SWL group, stones were located mostly in the pelvis (51%), while in the miniperc and microperc groups, they were located mainly in the lower pole (46%, 53%, respectively). Stone-free rates after a single session were 77.2%, 86.1%, 88.8%, and 83.6% in the SWL, RIRS, microperc, and miniperc groups, respectively. Although no serious complications (above Clavien level III) were noted in any of the groups evaluated, Clavien I to II complications were common in the miniperc group. Conclusion: Although SWL is the preferred treatment option for patients with medium-sized (10-20mm) renal stones, endourologic methods also have been found to have a significant role. Relatively lower complication rates along with higher stone-free status observed with the RIRS technique compared with percutaneous approaches have made this method a valuable option in the management of such stones in recent years.
dc.identifier.citationKiremit, M. C., Güven, S., Sarıca, K., Öztürk, A., Buldu, İ., Kafkaslı, A. ... Albayrak, S. (2015). Contemporary management of medium-sized (10-20mm) renal stones: A retrospective multicenter observational study. JournalL of Endourology, 29(7), 838-843. https://dx.doi.org/10.1089/end.2014.0698
dc.identifier.doi10.1089/end.2014.0698
dc.identifier.endpage843
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue7
dc.identifier.scopusqualityQ1
dc.identifier.startpage838
dc.identifier.urihttps://dx.doi.org/10.1089/end.2014.0698
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3100
dc.identifier.volume29
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert
dc.relation.ispartofJournal of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectContemporary Management
dc.subjectRenal Stones
dc.subjectRetrospective
dc.subjectMulticenter
dc.titleContemporary management of medium-sized (10-20mm) renal stones: A retrospective multicenter observational study
dc.typeArticle

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