PMID- 31489235
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2090-598X (Print)
IS  - 2090-5998 (Electronic)
IS  - 2090-598X (Linking)
VI  - 17
IP  - 3
DP  - 2019
TI  - Radiation-free flexible ureteroscopy for kidney stone treatment.
PG  - 200-205
LID - 10.1080/2090598X.2019.1606381 [doi]
AB  - Objectives: To evaluate the safety and effectiveness of flexible ureterorenoscopy 
      (fURS) with holmium laser lithotripsy for treating kidney stones without 
      fluoroscopy as method of best practice for patients and endourologists. Patients 
      and Methods: All patients treated for kidney stones by fURS with holmium laser 
      lithotripsy from February 2016 to February 2017 were retrospectively evaluated. 
      The patients' demographic characteristics, stone features (size, number, and 
      location), surgical variables (use of fluoroscopy, operative and fluoroscopy 
      time), complications, and success rate (employing stone-free rate [SFR]), were 
      included in the analysis. Results: In all, 100 patients met the inclusion 
      criteria: 33 fURS were performed under fluoroscopy (Group 1) and 67 without it 
      (Group 2). The mean operating time was 94.33 vs 98.29 min (P = 0.888), 
      respectively. The mean stone volume was 78.5 vs 82.4 mL (P = 0.885), 
      respectively. The SFR was 63.6% and 64.2% (P = 0.771), the perioperative 
      complications rate was 18.2% vs 11.9% (P = 0.285), and the postoperative 
      complications rate was 24.2% and 10.4%, in groups 1 and 2 respectively (P 
      = 0.174). Conclusions: fURS with holmium laser lithotripsy without fluoroscopy 
      was a feasible and safe treatment for kidney stones. There was no difference 
      between the use of fluoroscopy or not regarding complications or SFR. Thus, we 
      can reduce the risks of radiation exposure to patients and medical staff whilst 
      maintaining surgical success. However, multicentre randomised controlled studies 
      are necessary to evaluate fluoroless URS further and to confirm our present 
      results. Abbreviations: PTFE: polytetrafluoroethylene; SFR: stone-free rate; 
      (f)URS: (flexible) ureterorenoscopy/ureterorenoscopies; US: ultrasonography.
FAU - Manzo, Braulio O
AU  - Manzo BO
AUID- ORCID: 0000-0002-1730-054X
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Lozada, Edgard
AU  - Lozada E
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Manzo, Gildardo
AU  - Manzo G
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Sanchez, Hector M
AU  - Sanchez HM
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Gomez, Francisco
AU  - Gomez F
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Figueroa, Alejandro
AU  - Figueroa A
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
FAU - Gonzalez, Adrian
AU  - Gonzalez A
AD  - Department of Urology, Hospital Regional de Alta Especialidad del Bajio, Leon, 
      Mexico.
LA  - eng
PT  - Journal Article
DEP - 20190424
PL  - United States
TA  - Arab J Urol
JT  - Arab journal of urology
JID - 101562480
PMC - PMC6711139
OTO - NOTNLM
OT  - Ureteroscopy
OT  - fluoroscopy
OT  - laser
OT  - lithotripsy
OT  - radiation
OT  - renal stones
EDAT- 2019/09/07 06:00
MHDA- 2019/09/07 06:01
PMCR- 2019/01/01
CRDT- 2019/09/07 06:00
PHST- 2018/07/02 00:00 [received]
PHST- 2018/10/13 00:00 [accepted]
PHST- 2019/09/07 06:00 [entrez]
PHST- 2019/09/07 06:00 [pubmed]
PHST- 2019/09/07 06:01 [medline]
PHST- 2019/01/01 00:00 [pmc-release]
AID - 1606381 [pii]
AID - 10.1080/2090598X.2019.1606381 [doi]
PST - epublish
SO  - Arab J Urol. 2019 Apr 24;17(3):200-205. doi: 10.1080/2090598X.2019.1606381. 
      eCollection 2019.