Flexible Ureterorenoscopy With Holmium Laser in Horseshoe Kidneys

被引:64
|
作者
Molimard, Benoit [1 ]
Al-Qahtani, Saeed [1 ]
Lakmichi, Amine [1 ]
Sejiny, Majed [1 ]
de Medina, Sixtina Gil-Diez [1 ]
Carpentier, Xavier [1 ]
Traxer, Olivier [1 ]
机构
[1] Univ Paris 06, Dept Urol, Tenon Univ Hosp, Paris, France
关键词
URETERAL ACCESS SHEATH; SHOCK-WAVE LITHOTRIPSY; URETEROSCOPIC MANAGEMENT; ANOMALOUS KIDNEYS; RENAL-CALCULI; UROLITHIASIS; EXPERIENCE;
D O I
10.1016/j.urology.2010.02.072
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES To assess the outcome of flexible ureterorenoscopy (F-URS) with the holmium laser in treating stones in the horseshoe kidney (HSK). METHODS We retrospectively reviewed the records of 17 patients with a HSK stone (17 renal units) who had undergone F-URS with the holmium laser from December 2004 to May 2009. The presenting symptoms were renal colic, urinary tract infection, or hematuria. F-URS was used in as an alternative after the failure of shock wave lithotripsy in 8 patients (47%) and percutaneous nephrolithotomy failure in 4 patients (23.5%). Follow-up examination was performed after 4-6 weeks with plain radiography and either renal ultrasonography or noncontrast computed tomography. Success was defined as stone-free status or residual fragments <3 mm. The use of auxiliary procedures was considered to indicate treatment failure. RESULTS A total of 17 patients were included in the present study (3 females and 14 males). Their age was 16-52 years (mean age +/- SD 34.7 +/- 6.3). The HSK stone location was 7 mixed caliceal, 3 mixed pelvic and caliceal, and 7 pelvic. The average stone burden was 16 mm (range 7-35). The overall number of procedures was 25 (mean 1.5 procedures/patient). Of the 17 patients, 15 (88.2%) were rendered stone free. CONCLUSIONS The results of our study have shown that F-URS with the holmium laser is an efficient minimal invasive procedure for treating HSK stones. UROLOGY 76: 1334-1338, 2010. (c) 2010 Elsevier Inc.
引用
收藏
页码:1334 / 1337
页数:4
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