Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease
Albdaiwi, D., Almuanni, M., Shobian, M., Moshref, S., Qarah, M., Al-Jubali, S. (2017). Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease. EKB Journal Management System, 67(2), 758-764. doi: 10.12816/0037833
Daham Abdulmohsen Albdaiwi; Mohammed Ali Almuanni; Mohammad Sameer Shobian; Sarah Maher Moshref; Muhannad Basheer Qarah; Sahar Sameer Al-Jubali. "Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease". EKB Journal Management System, 67, 2, 2017, 758-764. doi: 10.12816/0037833
Albdaiwi, D., Almuanni, M., Shobian, M., Moshref, S., Qarah, M., Al-Jubali, S. (2017). 'Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease', EKB Journal Management System, 67(2), pp. 758-764. doi: 10.12816/0037833
Albdaiwi, D., Almuanni, M., Shobian, M., Moshref, S., Qarah, M., Al-Jubali, S. Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease. EKB Journal Management System, 2017; 67(2): 758-764. doi: 10.12816/0037833

Flexible Ureteroscopy and Laser Lithotripsy Intervention for the Management of Stone Disease

The Egyptian Journal of Hospital Medicine
Article 32, Volume 67, Issue 2, April 2017, Page 758-764  XML PDF (531.05 K)
Document Type: Original Article
DOI: 10.12816/0037833
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Authors
Daham Abdulmohsen Albdaiwi1; Mohammed Ali Almuanni2; Mohammad Sameer Shobian3; Sarah Maher Moshref4; Muhannad Basheer Qarah5; Sahar Sameer Al-Jubali6
1Masstricht University
2King Faisal University
3King Abdullaziz University
4King Abdulaziz Hospital & Oncology Center
5King Faisal Specilaliset Hospital& Researh
6Ibn Sina College
Abstract
Background: The role of ureteroscopy has dramatically evolved over the past twenty years driven by profound enhancement in various factors and assisting techniques such as the ureteroscope size, deflection capabilities, video-imaging, and in lithotripsy (stone breakage) with the advent of holmium laser, however, the stone size plays a critical role in determining outcomes and operative approach. Aim of the work: we conducted a systematic review of the literature to look at the safety and efficacy of flexible utereroscopy and laser lithotripsy intervention in patients with stone disease; particularly those with stones larger than 2 cm.
Methods: A systematic search was performed in the scientific database particularlyMEDLINE (2000–2017), EMBASE (2000– 2017), Cochrane Central Register of Controlled Trials, CINAHL (2000–2017), Google Scholar, and individual urologic journals.
 Results: The search yielded eight studies involving 392 patients, (390 renal units) were reportedly treated with FURSL. The mean operative time was 80.7 minutes (26-215 min). The mean stone-free rate was 91.2% (77%-96.7%), with an average of 1.6 procedures per patient. The mean stone size was 2.5 cm except for one most recent study which reported stones size less than 0.5 cm. An overall complication rate was 8.1%. Major complications developed in 21 (4.2%) patients and minor complications developed in 19 (3.9%) patients.
Conclusion: Flexible Ureteroscopy and Laser Lithotripsy intervention has proven to be not only a less invasive treatment but also a successful with a low complication and stone free rate (SFR) for renal calci larger than 2 cm. FURSL may represent an alternative therapy to standard percutaneous nephrolithotomy (PCNL) with satisfactory efficacy and low morbidity.
 
Keywords
Ureteroscopy; Laser Therapy; Urinary Calculi; Lithotripsy; kidney stone; ureteric stone
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