Evidence map›Paper›PMID 33330143›Full record

ArticleResearch and reports in urology2020

In situ Management of Large Upper Ureteric Calculus by Mini-Percutaneous Nephrolithotomy in the Era of Retrograde Intrarenal Surgery.

Sanjay Prakash Jayaprakash, Mathisekaran Thangarasu, Nitesh Jain, Sandeep Bafna, Rajesh Paul

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Article in Research and reports in urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sanjay Prakash JayaprakashApollo Main Hospitals, Chennai, India.ORCID 0000-0001-8758-9441
Mathisekaran ThangarasuApollo Main Hospitals, Chennai, India.ORCID 0000-0002-8458-5725
Nitesh JainApollo Main Hospitals, Chennai, India.
Sandeep BafnaApollo Main Hospitals, Chennai, India.ORCID 0000-0002-4772-4853
Rajesh PaulApollo Main Hospitals, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study is to demonstrate the ease and success of in situ management of large upper ureteric stones with mini percutaneous nephrolithotomy (PCNL).

methodsThis was a prospective observational study conducted in the Department of Urology between January 2018 and June 2019. All patients underwent standard prone mini PCNL with 15Fr amplatz with 80 cases of fluoroscopic and 12 cases of ultrasound guided access. In three cases of tortuous ureters, wire was passed via retrograde catheter and retrieved via amplatz to straighten the ureter. Calculi fragmented with laser.

resultsA total of 77 patients were included in this study, 62 unilateral and 15 bilateral cases (92 renal units). The mean age was 45.4±13.7 years (range 17-71), male to female ratio was 61:16, the disease laterality (left: right) was 28:34. The mean stone size was 17.6±1.4 mm. Mean operative time was 22.4±1.5 min. 88% patients were discharged as day care. Complication rate was 6.5%, three patients had transient fever and two patients had distal migration of small fragments and they were extracted at the time of DJ stent removal by rigid ureteroscopy (100%).

conclusionWe conclude that it is easy and effective to deal with large upper ureteric calculus when it is in a fixed position. In situ management of large upper ureteric calculus by mini-PCNL can be done safely and effectively as it is a fast procedure, prevents unnecessary manoeuvres, less complication rates and has good stone clearance rates.

Indexed as

hydroureteronephrosislaser lithotripsyupper ureter stonesurolithiasis

Identifiers

PMID33330143
PMCPMC7735938

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