Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2 cm still a hazard?
Guido Giusti1, Silvia Proietti1, Lorenzo G. Luciani2,
Roberto Peschechera1, Antonella Giannantoni3,
Gianluigi Taverna1, Giuseppe Sortino1,4, Pierpaolo Graziotti1
Canadian Journal of Urology, Vol.21, No.2, pp. 7207-7212, 2014
Abstract Introduction: Major kidney stones have traditionally been treated with percutaneous nephrolithotomy. However, retrograde intrarenal surgery (RIRS), which until a few years ago was considered inappropriate for this purpose, is becoming a viable, attractive alternative. The aim of the current study was to assess the efficacy and safety of RIRS combined with holmium laser lithotripsy for the treatment of stones >2 cm in diameter in a large series of patients, reporting complications according to the Clavien-Dindo classification.
Materials and methods: By retrospective analysis, we identified a total of 162 patients who were affected by stones greater than… More >