Kiremit, Murat CanGüven, SelçukSarıca, KemalÖztürk, AhmetBuldu, İbrahimKafkaslı, AlperBalasar, Mehmetİstanbulluoğlu, OkanHoruz, RahimÇetinel, Cihangir AliKandemir, AbdulkadirAlbayrak, Selami10.07.20192019-07-1010.07.20192019-07-102015Kiremit, 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.2014.06980892-77901557-900Xhttps://dx.doi.org/10.1089/end.2014.0698https://hdl.handle.net/20.500.12511/3100WOS: 000362081600015PubMed ID: 25578510Purpose: 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.eninfo:eu-repo/semantics/closedAccessContemporary ManagementRenal StonesRetrospectiveMulticenterArticle29783884310.1089/end.2014.0698Q2Q1