Which One is More Effective for 15-25 Mm Renal Pelvis Stones? ESWL, F-URS, Miniperc or PNL

Engin Kaya, Turgay Ebiloglu, Burak Köprü, Giray Ergin, Murat Zor, Nahid Yunusov, Mustafa Kıraç and Selahattin Bedir

Department of Urology, Gulhane Training and Research Hospital, Turkey
Department of Urology, Koru Hospital, Turkey

^*Correspondance to: Engin Kaya 

 PDF  Full Text DOI: 10.25107/2474-1647.2107

Abstract

To compare the success of ESWL, F-URS, Miniperc and PNL for 15-25 mm renal pelvis stones in terms of Stone Free Status (SFR), Fluoroscopy Time (FT), Procedure Time (PT), Complication Rates (CR), and Cost Effectiveness (CE). Between January 2010 and January 2017, patients having 15-25mm renal pelvis stone were directed to the four different procedures: ESWL, F-URS, Miniperc or PNL. Patients having ESWL, F-URS, Miniperc or PNL were defined as group 1,2,3,4, respectively. The SFR, FT, PT, CR according to the Clavien Classification, and costs were noted. There were 196 patients with 49(25%), 49(25%), 25(12%), 73(37%) in group 1,2,3,4, respectively. Best SFR was achieved in group 4 on short and long term follow-up with 67% and 86% success rates. Hgb drop was not significant in groups except in group 4 (p=0.54,0.8,0.63,0.001 for group1,2,3,4). Creatinine change was not different in groups except in group 4 (p=0.82,0.863,0.746,0.042 for group1,2,3,4). FT and PT were shortest in group 1, FT was longest in group 4, and PT was longest in group 3. The CR was statistically different among groups, except miniperc and PNL. Group 1 was significantly cheaper from group 2,3,4 (p=0.001,0.009,0.01). Group 4 was cheaper than group 2 and 3 (p=0.002,0.005), and group 2 was cheaper than group 3 (p=0.03). For 15-25 mm renal pelvis stones, PNL is superior to ESWL, F-URS, and miniperc with best SFR, moderate CE and CR.

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Cite the article

Kaya E, Ebiloglu T, K�pr� B, Ergin G, Zor M, Yunusov N, et al. Which One is More Effective for 15-25 Mm Renal Pelvis Stones? ESWL, F-URS, Miniperc or PNL. Clin Surg. 2018; 3: 2107.