Multistaged retrograde intrarenal surgery for large renal stones – our institutional experience

Authors

DOI:

https://doi.org/10.3126/ajms.v14i7.51282

Keywords:

Extracorporeal shock wave lithotripsy; Percutaneous nephrolithotrisy; Stone free rates; Upper urinary tract stones

Abstract

Background: Recent advances such as retrograde intrarenal surgery (RIRS) have become an acceptable and widespread technique for upper urinary tract stone management. However, the outcome and complication of staged RIRS for large stone burden (>2.0) still needs to be reported. A total of 150 cases of renal calculi were treated by RIRS in a single center. Among these, 30 had renal stone size larger than 2.0 cm.

Aims and Objectives: This study was conducted to present our views, experience, and outcomes of Retrograde Intra Renal Surgery for the Management of Large Renal Stones in Staged Manner using Flexible Ureteroscope with Holmium Laser as energy Source.

Materials and Methods: Between March 2020 and January 2022, we admitted 150 patients with upper urinary tract stones who underwent RIRS using 30 Watt Holmium laser lithotripsy in our institute. Post-surgery, all the cases are evaluated in terms of stone free rates (SFR) complications and effectiveness of RIRS.

Results: A total of 150 patients having upper urinary tract stones were included in this study (84 male and 66 female patients). All patients underwent RIRS using 30 watt holmium laser lithotripter. The overall SFR was 90.6%. The average stone size was 1.1 cm with average operation time of 100.6 min. Average hospital stay was 2.2 days. The average pain score was 2.1/10 by the Numerical Rating Scale. No major complications (Clavien Dindo III- V) were noted in the study groups.

Conclusion: Through our study, we concluded that RIRS for large renal stone management is an effective and safe treatment modality currently.

Downloads

Download data is not yet available.
Abstract
17
PDF
50

Downloads

Published

2023-07-01

How to Cite

Periasamy Ponnusamy, Rajasekar Sundaram, Rajkumar Ramakrishnan, Sammohit Gulakavarapu, & Shravankumar Savadatti. (2023). Multistaged retrograde intrarenal surgery for large renal stones – our institutional experience. Asian Journal of Medical Sciences, 14(7), 221–224. https://doi.org/10.3126/ajms.v14i7.51282

Issue

Vol. 14 No. 7 (2023)

Section

Original Articles

License

Copyright (c) 2023 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).