Comparative Study between Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for the Treatment of Renal Stones

Authors

  • Deb Prosad Paul Professor, Department of Surgery, Enam Medical College & Hospital, Savar, Dhaka
  • Debasish Das Associate Professor, Department of Surgery, Enam Medical College & Hospital , Savar, Dhaka
  • ASM Zahidur Rahman Professor, Department of Surgery, Shahid Monsur Ali Medical College, Uttara, Dhaka
  • Tarafder Habibullah Assistant Professor, Department of Surgery, Enam Medical College & Hospital, Savar, Dhaka
  • Sonia Akter Assistant Professor, Department of Surgery, Enam Medical College & Hospital, Savar, Dhaka
  • Md Mahfuzul Momen Assistant Professor, Department of Surgery, Enam Medical College & Hospital, Savar, Dhaka

DOI:

https://doi.org/10.3329/jemc.v9i2.41409

Keywords:

Kidney stones; Flexible ureteroscopy; Percutaneous nephrolithotomy; Retrograde intrarenal surgery

Abstract

Background: The prevalence of urolithiasis has increased during the last decades and now affects approximately 9% of the adult population specially in developed countries. European Urology Guidelines recommend PCNL in stones larger than 2 cm in size and ESWL in stones smaller than 2 cm in size as the first treatment option. With advances in technology, new generation flexible ureteroscopes with safe and effective lithotripters such as holmium laser have been developed and RIRS became an important alternative in the treatment of large urinary stones.

Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones and to compare its results with those of percutaneous nephrolithotomy (PCNL).

Materials and Methods: We retrospectively analyzed a total of 50 patients ─ 27 patients (20 males and 7 females) who underwent PCNL and 23 patients (17 males and 6 females) who underwent RIRS between January 2015 and December 2017.

Results: The mean duration of operation was 60.65 ± 23.56 minutes in the RIRS group and 50.55 ± 12.77 minutes in the PCNL group (p<0.047). The hospital stay was significantly shorter in the RIRS group (2.21 ± 0.9 vs 5.29 ± 1.53 days in the RIRS and PCNL groups, respectively; p<0.016). Stone-free rates after one session were 88.6% and 84.8% in the RIRS and PCNL groups respectively. Blood transfusions were required in five patients in the PCNL group. Complication rates were higher in the PCNL group.

Conclusion: This study reveals that RIRS can be an alternative to PCNL in the treatment of kidney stone.

J Enam Med Col 2019; 9(2): 84-89

Downloads

Download data is not yet available.
Abstract
426
PDF
449

Downloads

Published

2019-05-16

How to Cite

Paul, D. P., Das, D., Rahman, A. Z., Habibullah, T., Akter, S., & Momen, M. M. (2019). Comparative Study between Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for the Treatment of Renal Stones. Journal of Enam Medical College, 9(2), 84–89. https://doi.org/10.3329/jemc.v9i2.41409

Issue

Vol. 9 No. 2 (2019)

Section

Original Articles

License

  • Copyright on any research article is transferred in full to Journal of Enam Medical College upon publication in the journal. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).
  • Articles in the Journal of Enam Medical College are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/)
  • This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.