Comparison of Efficacy and Complications of Holmium Laser and Pneumatic Lithotripters Used in the Ureterorenoscopic Treatment of Proximal Ureter Stones, a Multi-Center Study of Society of Urological Surgery Aegean Study Group

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dc.authoridSahin, Mehmet Oguz/0000-0002-1985-9312
dc.authoridSahin, Mehmet/0000-0001-6712-7207
dc.authoridcinar, onder/0000-0002-0107-5843
dc.authoridCihan, Ahmet/0000-0001-5586-8673
dc.authoridSahin, Mehmet/0000-0001-6162-0308
dc.authoridSen, Volkan/0000-0003-2832-0682
dc.authoridErbatu, Oguzcan/0000-0002-2840-0028
dc.contributor.authorIrer, Bora
dc.contributor.authorSen, Volkan
dc.contributor.authorErbatu, Oguzcan
dc.contributor.authorYildiz, Alperen
dc.contributor.authorOngun, Sakir
dc.contributor.authorCinar, Onder
dc.contributor.authorCihan, Ahmet
dc.date.accessioned2024-11-07T13:35:26Z
dc.date.available2024-11-07T13:35:26Z
dc.date.issued2018
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective:The aim of this study is to compare the efficacy and complications of holmium laser and pneumatic lithotripsy used in the ureterorenoscopic treatment of proximal ureteral stones. Materials and Methods: Data of 638 patients, who underwent ureterorenoscopy (URS) due to proximal ureteral stones in different centers, were obtained from patient files. The patients were divided into two groups according to the type of lithotripter used: group 1; laser lithotripter (n=324; 50.8%) and group 2; pneumatic lithotripter (n=314; 49.2%). URS was considered successful upon determination stone-free status with the imaging methods after treatment. The effectiveness and the complications of holmium:yttrium-aluminum-garnet laser and pneumatic lithotripsy were compared. Results: The total success rate of URS was 82.6% and the complication rate was 8.1%. The mean age of patients was similar between the groups; however, the body mass index values, stone surface area and stone Hounsfield unit were significantly higher in group 1. Although the mean operative time, complication rate and the mean length of hospital stay were similar between the groups; the URS success and postoperative ureteral J stent use rates were significantly higher in group 1 and the push-back rate was significantly higher in group 2. Conclusion: If laser lithotripsy is available in a clinic, we believe that it is better to use it as the first option in the treatment of proximal ureter stones. However, considering that it is not easy to access laser lithotripters due to their high cost in Turkey, pneumatic lithotripters may be an effective and inexpensive alternative that can also be safely used in these cases.
dc.identifier.doi10.4274/jus.2143
dc.identifier.endpage163
dc.identifier.issn2148-9580
dc.identifier.issue3
dc.identifier.startpage158
dc.identifier.trdizinid306282
dc.identifier.urihttps://doi.org/10.4274/jus.2143
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/306282
dc.identifier.urihttps://hdl.handle.net/11480/16500
dc.identifier.volume5
dc.identifier.wosWOS:000444033700004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Yayincilik
dc.relation.ispartofJournal of Urological Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectComplication
dc.subjectLaser lithotripter
dc.subjectPneumatic lithotripter
dc.subjectProximal ureter stone
dc.subjectUreter stone
dc.titleComparison of Efficacy and Complications of Holmium Laser and Pneumatic Lithotripters Used in the Ureterorenoscopic Treatment of Proximal Ureter Stones, a Multi-Center Study of Society of Urological Surgery Aegean Study Group
dc.typeArticle

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