Contemporary Management of Medium-Sized (10-20mm) Renal Stones: A Retrospective Multicenter Observational Study

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dc.contributor.authorKiremit, Murat Can
dc.contributor.authorGuven, Selcuk
dc.contributor.authorSarica, Kemal
dc.contributor.authorOzturk, Ahmet
dc.contributor.authorBuldu, Ibrahim
dc.contributor.authorKafkasli, Alper
dc.contributor.authorBalasar, Mehmet
dc.date.accessioned2024-02-23T14:20:57Z
dc.date.available2024-02-23T14:20:57Z
dc.date.issued2015
dc.departmentNEÜen_US
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.en_US
dc.identifier.doi10.1089/end.2014.0698
dc.identifier.endpage843en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue7en_US
dc.identifier.pmid25578510en_US
dc.identifier.scopus2-s2.0-84936940002en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage838en_US
dc.identifier.urihttps://doi.org/10.1089/end.2014.0698
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13378
dc.identifier.volume29en_US
dc.identifier.wosWOS:000362081600015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal Of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[Keyword Not Available]en_US
dc.titleContemporary Management of Medium-Sized (10-20mm) Renal Stones: A Retrospective Multicenter Observational Studyen_US
dc.typeArticleen_US

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