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Original Research

Use of Flexible Cystoscope in Removal of Stone in Laparoscopic Pyeloplasty and Pyelolithotomy


Samsun Training and Research Hospital Urology Clinic, University of Health Sciences, Samsun, Turkey


DOI : 10.33719/yud.531367
New J Urol. 2019; 14 (1): 43-48

Abstract

Objective: Laparoscopic pyeloplasty and laparoscopic pyelolithotomy are widely used in the treatment of ureteropelvic junction (UPJ) obstructions and renal stones in the urology field. Flexible cystoscopy can be used simultane- ously with these methods for removal of calyceal stones in patients with UPJ obstructions. The present study assessed the usefulness of these surgical procedures .

Material and Methods: Between February 2016 and October 2017, 7 patients underwent stone removal with a flexible cystoscope during laparoscopic pyelolithotomy and laparoscopic pyeloplasty. The durations of the operations and hospital stays, blood loss, preoperative and post- operative complications, and follow-up times were evaluated.

Results: Five of seven patients had renal stones with UPJ obstruction. Two patients had calyceal stones in the lower calyx , in addition to renal pelvic stones. The mean age of the patients was 36.8 (18–73) years. The stone-free rate was 85.7%. The mean duration of the operation was 153.5 (105–230) min, and the duration of the hospital stay was 4.4 (3–7) days. There were no intraoperative or postoperative complications.

Conclusion: Laparoscopic pyeloplasty and pyelolithotomy, with simultaneous use of flex- ible cystoscopy in UPJ obstruction patients with kidney stones and patients with multiple renal stones is a feasible treatment option, with a high success rate.

Keywords: Laparoscopic pyelolithotomy, laparoscopic pyeloplasty, fleksible cystoscopy


Abstract

Objective: Laparoscopic pyeloplasty and laparoscopic pyelolithotomy are widely used in the treatment of ureteropelvic junction (UPJ) obstructions and renal stones in the urology field. Flexible cystoscopy can be used simultane- ously with these methods for removal of calyceal stones in patients with UPJ obstructions. The present study assessed the usefulness of these surgical procedures .

Material and Methods: Between February 2016 and October 2017, 7 patients underwent stone removal with a flexible cystoscope during laparoscopic pyelolithotomy and laparoscopic pyeloplasty. The durations of the operations and hospital stays, blood loss, preoperative and post- operative complications, and follow-up times were evaluated.

Results: Five of seven patients had renal stones with UPJ obstruction. Two patients had calyceal stones in the lower calyx , in addition to renal pelvic stones. The mean age of the patients was 36.8 (18–73) years. The stone-free rate was 85.7%. The mean duration of the operation was 153.5 (105–230) min, and the duration of the hospital stay was 4.4 (3–7) days. There were no intraoperative or postoperative complications.

Conclusion: Laparoscopic pyeloplasty and pyelolithotomy, with simultaneous use of flex- ible cystoscopy in UPJ obstruction patients with kidney stones and patients with multiple renal stones is a feasible treatment option, with a high success rate.

Keywords: Laparoscopic pyelolithotomy, laparoscopic pyeloplasty, fleksible cystoscopy

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