The Role of Microperc in the Treatment of Symptomatic Lower Pole Renal Calculi

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dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorArmagan, Abdullah
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorSilay, Mesrur Selcuk
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorAkman, Tolga
dc.contributor.authorHatipoglu, Namik Kemal
dc.date.accessioned2024-04-24T17:08:01Z
dc.date.available2024-04-24T17:08:01Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground and Purpose: The treatment of symptomatic lower pole (LP) calculi poses a challenge because of lower clearance rates. We present our experience with microperc in the treatment of LP renal calculi. Patients and Methods: We retrospectively evaluated the symptomatic patients with LP renal calculi who underwent microperc between August 2011 and June 2012 from two referral hospitals. Patients were included only in cases of failure after shockwave lithotripsy (SWL) or retrograde intrarenal surgery (RIRS) and according to patient preference. The percutaneous renal access was performed using the 4.8F all-seeing needle with C-arm fluoroscopy or ultrasonographic guidance with the patient in the prone position. Stone disintegration was established using a 200 mu m holmium: yttrium-aluminum-garnet laser fiber. Results: A total of 21 patients (mean age 37.3 +/- 20.1 years) with LP stone underwent microperc. The mean body mass index was 28.6 +/- 6.0 kg/m(2), and the mean stone size was 17.8 +/- 5.9 (9-29) mm. The duration of surgery and fluoroscopic screening was 62.8 +/- 25.2 minutes and 150.5 +/- 92.8 seconds, respectively. The patients were discharged after a mean 37.5 +/- 14.4 hours of hospitalization time. The mean hemoglobin drop was 0.8 +/- 0.6 (0.1-2.3) g/dL. Conversion to miniperc was necessitated in one patient with loss of vision. Stone-free status was achieved in 18 (85.7%) patients. Clinically insignificant residual fragments were observed in only one (4.8%). The procedure failed in two (9.5%) patients. A total of two minor complications (renal colic necessitating stent insertion and urinary tract infection) were observed postoperatively, none severe. Conclusion: Microperc is a feasible and efficient treatment modality for symptomatic LP calculi. Our results provide that microperc might take a part in case of SWL and RIRS failures or as an alternative to percutaneous nephrolithotomy or RIRS in the management of symptomatic LP calculi.en_US
dc.identifier.doi10.1089/end.2012.0422
dc.identifier.endpage18en_US
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue1en_US
dc.identifier.pmid22873714
dc.identifier.scopus2-s2.0-84872322180
dc.identifier.scopusqualityQ1
dc.identifier.startpage13en_US
dc.identifier.urihttps://doi.org/10.1089/end.2012.0422
dc.identifier.urihttps://hdl.handle.net/11468/17154
dc.identifier.volume27en_US
dc.identifier.wosWOS:000313582200006
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Endourology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleThe Role of Microperc in the Treatment of Symptomatic Lower Pole Renal Calculien_US
dc.titleThe Role of Microperc in the Treatment of Symptomatic Lower Pole Renal Calculi
dc.typeArticleen_US

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