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Research Paper | Medical Science | Iraq | Volume 12 Issue 10, October 2023
Comparison between Flexible Uretero-Renoscope and Shock Wave Lithotripsy in ?Management of Lower Pole Renal Stones 10-20 mm?
Salam Salah Hameed [2] | Bashar Al-Amiri [2] | Nibbras Al-Hamadani [2] | Osama Yhyia Al-Sudani [2] | Montadhar Hameed Nima [2] | Hayder A. Fawzi [5]
Abstract: Background: Lower Pole (LP) renal stones are challenging to manage due to the existence of anatomical features that make stone removal more complex. Eextracorporeal shock wave lithotripsy (ESWL) has historically been the treatment of choice for all stones less than 20 mm in size; however advances in laser lithotripsy are favoring flexible ureteroscopy (FURS) in the treatment of renal stones. Objective: evaluate the outcomes of retrograde intrarenal surgery by FURS and ESWL in the management of Lower pole renal stones 10-20mm. Patients and methods: A Prospective two arms clinical interventional study that involved 80 adult patients diagnosed with lower pole renal stones of (10-20 mm) Patients were randomized into two groups, Group FURS consisted of 40 patients (n=40) were offered treatment with FURS for their renal stones. Group ESWL consisted of 40 patients (n=40) were offered treatment by ESWL, both groups were evaluated for stone-free rate at 2 weeks and 3 months interval in addition to other parameters. Results: there was a significant difference between both groups regarding procedure time, that procedure time was more in FURS group(p=0.001). SFR In 2 weeks and 3 months were significantly superior in FURS ,75% of patients were Stone free at 2 weeks,87.5% at 3 months in FURS group while only 17.5% were stone free at 2 weeks and 50% at three months in ESWL group (p=0.001).
Keywords: Flexible Uretero-Renoscope, Shock Wave, Lithotripsy, renal stone
Edition: Volume 12 Issue 10, October 2023,
Pages: 249 - 254