Qiao Wu1#, Jing Huang1, Chunlin Tan1, Xiaojun Wang1, Haiyun Wang1, Yi Huang1, Guangqiang Zhu1, Yanjun Chen1, Xin Li2#, Ji Wu3, Bing Zou4 and Tielong Tang1*
1Department of Urology, Urogenital Diseases Lab, Affiliated Hospital of North Sichuan Medical College, China
2The Second Affiliated Hospital of North Sichuan Medical College, China
3Department of Urology, Nanchong Central Hospital, China
4Department of Pediatric Surgery, Suining Central Hospital, China
#These authors contributed equally to this work
Objective: This study aimed to explore the effectiveness and safety of bilateral same-session ureteroscopy for bilateral upper urinary stones. Methods: Between January 2014 and October 2020, 88 cases in our hospital were retrospectively collected and analyzed. Patients were divided into two groups according to the stone size: <20 mm group and ≥ 20 mm groups. Based on the stone position, patients were divided into three groups: Ureter stones group, renal stones group, and ureteral + renal stones group. The operation time, initial Stone-Free Rate (SFR), final SFR, postoperative complications, total hospital stay, and postoperative hospital stay were compared. Results: The initial SFR and total SFR were 60.2% and 84.1%, respectively. The complication rate was 11.4%. The initial SFR was significantly different between the low-size group and the high-size group (71.4% vs. 32%, P<0.05). Remarkable differences in the operative time, initial SFR, and total SFR were presented among different stone location groups (P<0.05). Conclusion: BSSU may be safe and effective for the management of BUUS, especially for patients with low stone load and ureteral stones.
Wu Q, Huang J, Tan C, Wang X, Wang H, Huang Y, et al. Bilateral Same- Session Ureteroscopy (BSSU) for Bilateral Upper Urinary Stones (BUUS): Safety and Efficacy. Clin Surg. 2022; 7: 3491..