Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation

The purpose of the study was to investigate feasibility of retrograde intrarenal surgery (RIRS) in patients with isolated anomaly of kidney rotation with kidney stones. We retrospectively reviewed the medical records of patients who underwent RIRS due to kidney stones in three referral hospitals. Tw...

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Veröffentlicht in:Urolithiasis 2014-04, Vol.42 (2), p.141-147
Hauptverfasser: Oğuz, Ural, Balci, Melih, Atis, Gokhan, Bozkurt, Omer Faruk, Tuncel, Altug, Halis, Fikret, Aslan, Yilmaz, Yildirim, Ismail Okan, Senocak, Cagri, Yordam, Mustafa, Atan, Ali, Caskurlu, Turhan, Unsal, Ali
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container_end_page 147
container_issue 2
container_start_page 141
container_title Urolithiasis
container_volume 42
creator Oğuz, Ural
Balci, Melih
Atis, Gokhan
Bozkurt, Omer Faruk
Tuncel, Altug
Halis, Fikret
Aslan, Yilmaz
Yildirim, Ismail Okan
Senocak, Cagri
Yordam, Mustafa
Atan, Ali
Caskurlu, Turhan
Unsal, Ali
description The purpose of the study was to investigate feasibility of retrograde intrarenal surgery (RIRS) in patients with isolated anomaly of kidney rotation with kidney stones. We retrospectively reviewed the medical records of patients who underwent RIRS due to kidney stones in three referral hospitals. Twenty-four patients who had kidney rotation were included in this study. The patients with horseshoe kidney or pelvic kidney were not included in the study. The patients were evaluated for final success 1 month after surgery. Success was defined as stone-free or fragment smaller than 3 mm. Mean age of patients was 39.5 years (1–71 years) and male/female ratio was 3:1. Mean stone size was 13.46 mm (5–30 mm). Twelve (50 %) patients had the operation on the right side and other 12 (50 %) patients had on the left side. Eighteen (75 %) patients were stone-free after single procedure. And stone-free rate increased to 83.3 % after additional treatment procedures. When we compared the successful and failed procedures, gender, stone side and size, preoperative hydronephrosis, access sheet usage, ureteral double-J stent insertion were not statistically significant in two groups. We did not confront major complication. RIRS seems to be an effective and safe treatment option for renal stones in patients with isolated anomaly of kidney rotation.
doi_str_mv 10.1007/s00240-013-0625-0
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We retrospectively reviewed the medical records of patients who underwent RIRS due to kidney stones in three referral hospitals. Twenty-four patients who had kidney rotation were included in this study. The patients with horseshoe kidney or pelvic kidney were not included in the study. The patients were evaluated for final success 1 month after surgery. Success was defined as stone-free or fragment smaller than 3 mm. Mean age of patients was 39.5 years (1–71 years) and male/female ratio was 3:1. Mean stone size was 13.46 mm (5–30 mm). Twelve (50 %) patients had the operation on the right side and other 12 (50 %) patients had on the left side. Eighteen (75 %) patients were stone-free after single procedure. And stone-free rate increased to 83.3 % after additional treatment procedures. 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When we compared the successful and failed procedures, gender, stone side and size, preoperative hydronephrosis, access sheet usage, ureteral double-J stent insertion were not statistically significant in two groups. We did not confront major complication. RIRS seems to be an effective and safe treatment option for renal stones in patients with isolated anomaly of kidney rotation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24253539</pmid><doi>10.1007/s00240-013-0625-0</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Child
Child, Preschool
Female
Humans
Infant
Kidney - abnormalities
Kidney - surgery
Kidney Calculi - surgery
Male
Medical Biochemistry
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Original Paper
Retrospective Studies
Rotation
Urology
title Retrograde intrarenal surgery in patients with isolated anomaly of kidney rotation
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