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Vol. 43. Issue 10.
Pages 521-525 (December 2019)
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Vol. 43. Issue 10.
Pages 521-525 (December 2019)
Review article
DOI: 10.1016/j.acuroe.2019.04.009
Retrograde intrarenal surgery without fluoroscopy: Is it possible? A randomized prospective study, an extraordinary experience
Cirugía retrógrada intrarrenal sin fluoroscopia: ¿es posible? Estudio prospectivo aleatorizado, una experiencia extraordinaria
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B Günera,
Corresponding author
gunerbayram@yahoo.com

Corresponding address.
, B Günaydınb
a Edremit Körfez Hospital, Departamento de Urología, Kadiköy, Turkey
b Ömer Halisdemir University, Departamento de Urología, Kadiköy, Turkey
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Tables (3)
Table 1. Group Characteristics
Table 2. Comparison of the Groups
Table 3. Average radiation exposure of various imaging modalities 14
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ABSTRACT
Aims

The aim of this study was to evaluate the role of the use of fluoroscopy in patients undergoing retrograde intrarenal surgery and the effect on surgical outcomes.

Material and Methods

The patients who were admitted to our center with the diagnosis of kidney stones were divided into two groups. In group 1, routine fluoroscopy was used in all cases (n:58). In group 2, the same procedure was performed without fluoroscopy (n:67) and the results of the two groups were compared.

Results

There were no statistically significant differences between the two groups in terms of operation time, stone-free rate, complication rate, need for analgesic and re-treatment requirement and VAS score.

Conclusion

The use of fluoroscopy does not alter the complication frequency and stone-free rate. We think that the use of fluoroscopy is not mandatory in cases in which renal pelvis access is achieved especially with semirigid ureteroscopy and that unnecessary fluoroscopy increases radiation exposure.

Keywords:
fluoroscopy
radiation
kidney
ureteroscopy
stone
retrograde intrarenal surgery
RESUMEN
Objetivos

El objetivo de este estudio fue evaluar el rol de la aplicación de fluoroscopia en pacientes sometidos a cirugía retrógrada intrarrenal y su efecto sobre los resultados quirúrgicos.

Material y métodos

Los pacientes que ingresaron en nuestro centro con diagnostico de cálculos renales se dividieron en dos grupos. En el grupo 1 se utilizó fluoroscopia de rutina en todos los casos (n: 58). En el grupo 2 se realizó el mismo procedimiento sin fluoroscopia (n: 67). Posteriormente se compararon los resultados de los dos grupos.

Resultados

No hubo diferencias estadísticamente significativas entre los dos grupos en términos de tiempo quirúrgico, tasa libre de cálculos, complicaciones, necesidad de analgésicos, requerimiento de nuevo tratamiento y escala visual analógica (EVA).

Conclusión

el uso de fluoroscopia no altera la frecuencia de complicaciones ni la tasa libre de cálculos. Creemos que el uso de fluoroscopia no es indispensable en los casos en que se consigue acceso a la pelvis renal (especialmente en procedimientos de ureteroscopia semirrígida) y que su uso debe ser limitado para así evitar un aumento innecesario de exposición a la radiación.

Palabras clave:
fluoroscopia
radiación
riñón
ureteroscopia
cálculo
cirugía retrógrada intrarrenal.

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