Abstract
In nowadays there is no consensus on single-session ureteroscopic lithotripsy (URSL) for the management of bilateral ureteric stones. The aim of this study was to evaluate efficacy and safety of single-session URSL in patients with bilateral ureteric stones. 41 patients who have undergone bilateral single-session URSL were evaluted in this study. A 8/9.8 Fr Wolf semi-rigid ureteroscope was used for the procedures, and the stones were fragmented with pneumatic lithotripter. A high stone-free rate was achieved (90.2%) after single endoscopic procedure with a retreatment rate of 9.8%. The procedure was most successful for distal ureteric stones with a 96.2% stone-free rate followed by middle ureteric stones with a 81.8% stone-free rate while the least success was achieved for proximal ureteric stones with a 77.7% stone-free rate (p < 0.05). A greater stone-free rate was obtained in those with stones less than 10 mm (93.7%) than in those with stones larger than 10 mm (77.7%) (p < 0.05). Ureteral perforation occurred in only one patient (2.4%). No long-term complication was observed in any patient. Bilateral single-session URSL can be performed effectively and safely with a low complication rate in patients with bilateral ureteric stones. It can reduce the need of anaesthetics and hospital stay.
Highlights
Ureteroscopic lithotripsy (URSL) is a highly effective and minimal invasive procedure in the treatment of ureteric stones
Staged URSL is performed for the management of bilateral ureteric stones
Günlüsoy et al reported that bilateral single-session pneumatic lithotripsy can be performed safely and has high success rates with minimal morbidity and short hospital stay (2)
Summary
Ureteroscopic lithotripsy (URSL) is a highly effective and minimal invasive procedure in the treatment of ureteric stones. Staged URSL is performed for the management of bilateral ureteric stones. With the recent development of small-caliber ureteroscopes and with the advances in intracorporeal lithotripsy devices, it is possible to perform bilateral single-session URSL in adults, and ureteric stones may be fragmented successfully. There are few reports in the literature about single-session URSL for the management of bilateral ureteral stones. Deliveliotis et al reported that bilateral ureteroscopy in single-session can be performed safely in selected patients (1). Günlüsoy et al reported that bilateral single-session pneumatic lithotripsy can be performed safely and has high success rates with minimal morbidity and short hospital stay (2). Today, there is still no consensus on single-session URSL for the management of bilateral ureteric stones
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