ISSN: 1859 - 2872
Retrograde flexible ureterorenoscopy for treatment of nephrolithiasis at Thanh Hoa General Hospital: Initial results
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Abstract
Objective: Evaluation of initial results of retrograde flexible ureterorenoscopy and laser lithotripsy for treatment of nephrolithiasis at Thanh Hoa General Hospital. Subject and method: Descriptive, prospective study. Study subjects were patients treated with kidney stones by retrograde flexible ureterorenoscopy and laser lithotripsy at Urology Department, General Hospital of Thanh Hoa province from 2016 to 2018. Result: Five patients (4 male and 1 female) with mean age of 52.6 ± 10.2 years, mean body mass index of 24.8 ± 6.4kg/m2. Pure calyceal stones: 4/5 patients, hydronephrosis at level I: 2/5 patients. Place JJ sonde before 1 - 2 weeks: 5/5 patients. Place a ureteral access sheath: 5/5 patients. Guided by C-arm: 3/5 patients. Average operative time was 65.2 ± 29.4 minutes. Remove urethral sonde after 2 days. Hospitalization 3 days. No disasters in surgery and no complications after surgery. Early stones free rate: 4/5 patients. Use other methods (ESWL): 1/5 patients. Remove JJ sonde after 2 weeks to 1 month with stones free rate after removing JJ sonde: 5/5 patients. Conclusion: Retrograde flexible ureterorenoscopy and laser lithotripsy for treatment of pelvicalyceal stones is a new, safe and less invasive treatment.
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