Objective: We aimed to investigate the effica- cy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi.
Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bilateral ureteral stones in sin- gle session (group 2) were compared in terms of demographic data, urinary stone disease history, stone characteristics and operation outcomes.
Results: There were 582 (69.2%) male and 259 (30.8%) female patients in group 1, 27 (65.9%) male and 14 (34.1%) female patients in group 2. The stone area was calculated as 70.9±52.6 mm2 in Group 1 while 271.1±180.2 mm2 in Group 2 cumulatively and it was significantly larger than Group 1 (p˂0.001). Mean operation time was also longer in Group 2 (Group 1: 36.0±19.3 min and Group 2: 48.9±23.7 min; p˂0.001). General anes- thesia was preferred in 50 patients (5.9%) in Group 1 and 7 (17.1%) patients in group 2 (p=0.013). A total of 127 (15.1%) patients needed analgesia at postoperative first day in Group 1 and 12 (29.3%) patients in Group 2 (p=0.025). The hospitalization times and stone free rates were similar between the groups (1.4±1.3 vs 2.1±2.6 days; p=0.082 and 90.6% vs 85.4%; p=0.274). No complication was found in 816 (97.0%) patients in Group 1 and 40 (97.6%) patients in Group 2 (p = 0.970).
Conclusion: We believe that bilateral URS in the same session is an effective and reliable meth- od in the treatment of bilateral ureter stones.
Keywords: bilateral ureteral stones, bilateral ureteroscopy, ureteral stone, ureteral stone treat- ment, ureteroscopy.
ABSTRACT
Objective: We aimed to investigate the effica- cy and safety of same session ureteroscopy (URS) in the treatment of bilateral ureteral calculi.
Materials and Methods: 841 patients who underwent unilateral URS for unilateral ureteral stone (group 1) and 41 patients who underwent bilateral URS for bilateral ureteral stones in sin- gle session (group 2) were compared in terms of demographic data, urinary stone disease history, stone characteristics and operation outcomes.
Results: There were 582 (69.2%) male and 259 (30.8%) female patients in group 1, 27 (65.9%) male and 14 (34.1%) female patients in group 2. The stone area was calculated as 70.9±52.6 mm2 in Group 1 while 271.1±180.2 mm2 in Group 2 cumulatively and it was significantly larger than Group 1 (p˂0.001). Mean operation time was also longer in Group 2 (Group 1: 36.0±19.3 min and Group 2: 48.9±23.7 min; p˂0.001). General anes- thesia was preferred in 50 patients (5.9%) in Group 1 and 7 (17.1%) patients in group 2 (p=0.013). A total of 127 (15.1%) patients needed analgesia at postoperative first day in Group 1 and 12 (29.3%) patients in Group 2 (p=0.025). The hospitalization times and stone free rates were similar between the groups (1.4±1.3 vs 2.1±2.6 days; p=0.082 and 90.6% vs 85.4%; p=0.274). No complication was found in 816 (97.0%) patients in Group 1 and 40 (97.6%) patients in Group 2 (p = 0.970).
Conclusion: We believe that bilateral URS in the same session is an effective and reliable meth- od in the treatment of bilateral ureter stones.
Keywords: bilateral ureteral stones, bilateral ureteroscopy, ureteral stone, ureteral stone treat- ment, ureteroscopy.