Holmium laser lithotripsy with semirigid ureterorenoscopy in treatment of upper ureteral and renal pelvis stones under spinal anesthesia

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dc.authoridSevim, Mehmet / 0000-0002-7571-7669
dc.authoridAlkış, Okan / 0000-0001-6116-9588
dc.authorwosidSevim, Mehmet / AAD-7819-2019
dc.contributor.authorAras, Bekir
dc.contributor.authorAlkış, Okan
dc.contributor.authorİvelik, Halil İbrahim
dc.contributor.authorSevim, Mehmet
dc.contributor.authorBaşer, Aykut
dc.date.accessioned2021-11-01T15:05:04Z
dc.date.available2021-11-01T15:05:04Z
dc.date.issued2020
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractExtracorporeal shockwave lithotripsy and especially flexible ureterorenoscopy (URS) are first-choice treatments of upper ureteral and renal pelvis stones. In our study, we aimed to demonstrate that the treatment of upper ureteral and renal pelvis stones smaller than 2 cm could be performed by semirigid URS under spinal anesthesia. The data of 292 patients were retrospectively analyzed. Stones were localized in upper ureter and renal pelvis in 191 (65.4%) and 101 (34.6%) patients, respectively. The stone-free rate was found to be 72.6%. The final stone-free rate was 95.2% after additional treatments administered to 80 patients with residues. While no peri-operative complication was observed, hematuria was observed in three patients during the post-operative period, high fever was observed in 27 patients and sepsis was observed in four patients. It is a well-known fact that flexible URS is the first-choice surgical method in the treatment of upper ureteral and renal pelvis stones. In the current study, we aimed to investigate whether laser lithotripsy with semirigid URS could also be a good and cheap alternative in clinical practice, and if upper urinary tract surgeries could be performed with spinal anesthesia especially in patients with a high risk of general anesthesia.
dc.identifier.citationAras, B., Alkiş, O., İvelik, H. İ., Sevim, M., & Başer, A. (2020). Holmium laser lithotripsy with semirigid ureterorenoscopy in treatment of upper ureteral and renal pelvis stones under spinal anesthesia. Journal of Clinical Urology, 2051415820956432.
dc.identifier.doi10.1177/2051415820956432
dc.identifier.issn2051-4158
dc.identifier.issn2051-4166
dc.identifier.scopus2-s2.0-85090795744
dc.identifier.scopusqualityQ4
dc.identifier.urihttps://doi.org/10.1177/2051415820956432
dc.identifier.urihttps://hdl.handle.net/11491/7089
dc.identifier.wosWOS:000568537200001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorBaşer, Aykut
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofJournal Of Clinical Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSemirigid ureterorenoscopyen_US
dc.subjectRenal pelvis stoneen_US
dc.subjectProximal ureter stoneen_US
dc.subjectSpinal anesthesiaen_US
dc.titleHolmium laser lithotripsy with semirigid ureterorenoscopy in treatment of upper ureteral and renal pelvis stones under spinal anesthesia
dc.typeArticle

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