Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi

  • Authors:
    • Tian Li
    • Xiangzhou Sun
    • Xun Li
    • Yongzhong He
  • View Affiliations

  • Published online on: July 24, 2020     https://doi.org/10.3892/etm.2020.9038
  • Pages: 3330-3335
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Abstract

Flexible ureteroscopy lithotripsy (FURS) is the most common treatment for patients with upper urinary tract calculi (diameter, <2 cm). The purpose of this prospective study was to assess the efficacy of FURS combined with metallic ureteral stents (MUS) for the treatment of upper urinary tract calculi. A total of 38 patients with upper urinary tract calculi were recruited in the present study, to compare the efficacy between FURS and FURS combined with MUS (FURS‑MUS). The results demonstrated that FURS‑MUS shortened operative time compared with FURS (35.2±1.2 vs. 57.4±1.7 min, respectively; P<0.01). Data also indicated that the clearance rate in FURS‑MUS and FURS was decreased from 94.5 and 87.8%, respectively (P<0.05). FURS‑MUS treatment decreased the duration of postoperative hospital stay compared with FURS (4.5±0.5 vs. 7.5±1.5 days, respectively; P<0.05). These data demonstrated that FURS‑MUS significantly increased postoperative inflammation score compared with FURS (6.2±0.8 vs. 4.2±1.0, respectively; P<0.05). The complication rate and blood loss exhibited no significant difference between FURS‑MUS and FURS (complication rate, 6.5% vs. 5.9%, respectively; blood loss, 4.2% vs. 4.6%, respectively). FURS‑MUS significantly decreased inflammatory cytokines and risk of sepsis, and improved readmission rate, stone recurrence and progression‑free survival compared with patients treated with FURS. In conclusion, these data suggested that FURS‑MUS may be an efficient, minimally invasive and reproducible operation for patients with upper urinary tract calculi.
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October-2020
Volume 20 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Li T, Sun X, Li X and He Y: Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi. Exp Ther Med 20: 3330-3335, 2020
APA
Li, T., Sun, X., Li, X., & He, Y. (2020). Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi. Experimental and Therapeutic Medicine, 20, 3330-3335. https://doi.org/10.3892/etm.2020.9038
MLA
Li, T., Sun, X., Li, X., He, Y."Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi". Experimental and Therapeutic Medicine 20.4 (2020): 3330-3335.
Chicago
Li, T., Sun, X., Li, X., He, Y."Flexible ureteroscopy lithotripsy combined with metallic ureteral stents for the treatment of patients with upper urinary tract calculi". Experimental and Therapeutic Medicine 20, no. 4 (2020): 3330-3335. https://doi.org/10.3892/etm.2020.9038