Pd34-07 a comparison among pcnl, miniperc and ultraminiperc for lower calyceal stones between 1 and 2 cm: a multicenter experience

You have accessJournal of UrologyStone Disease: Surgical Therapy V (PD34)1 Apr 2020PD34-07 A COMPARISON AMONG PCNL, MINIPERC AND ULTRAMINIPERC FOR LOWER CALYCEAL STONES BETWEEN 1 AND 2 CM: A MULTICENTER EXPERIENCE Silvia Ciarlariello*, Maria Chiara Sighinolfi, Umberto Besana, Javier Romero Otero, Pietro Bono, Giuseppe Pedaci, Stefano Puliatti, Luigi Bevilacqua, Ahmed Eissa, Giorgio Bozzini, Lorenzo Berti, Raffaele Inzillo, Marco Amato, Tahsin Batuan Aydogan, Salvatore Micali, Bernardo Rocco, and Carlo Buizza Silvia Ciarlariello*Silvia Ciarlariello* More articles by this author , Maria Chiara SighinolfiMaria Chiara Sighinolfi More articles by this author , Umberto BesanaUmberto Besana More articles by this author , Javier Romero OteroJavier Romero Otero More articles by this author , Pietro BonoPietro Bono More articles by this author , Giuseppe PedaciGiuseppe Pedaci More articles by this author , Stefano PuliattiStefano Puliatti More articles by this author , Luigi BevilacquaLuigi Bevilacqua More articles by this author , Ahmed EissaAhmed Eissa More articles by this author , Giorgio BozziniGiorgio Bozzini More articles by this author , Lorenzo BertiLorenzo Berti More articles by this author , Raffaele InzilloRaffaele Inzillo More articles by this author , Marco AmatoMarco Amato More articles by this author , Tahsin Batuan AydoganTahsin Batuan Aydogan More articles by this author , Salvatore MicaliSalvatore Micali More articles by this author , Bernardo RoccoBernardo Rocco More articles by this author , and Carlo BuizzaCarlo Buizza More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000905.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We performed a prospective randomized comparison among PerCutaNeous Lithotripsy (PCNL), MiniPerc (MP) and UltraMiniPerc (UMP) for lower calyceal stones between 1 and 2 cm to evaluate the efficacy and the safety of these procedures. METHODS: Patients with a single lower calyceal stone with an evidence of a CT diameter between 1 and 2 cm were enrolled in this multicentric study. Exclusion criteria were the presence of coagulation impairments, age less than 18 or more then 75, presence of acute infection, presence of cardiovascular or pulmonary comorbidities. Patients were randomized into three groups: Group A: patients treated with PCNL; Group B: patients treated with MP; Group C: patients treated with UMP. Patients were controlled with abdomen X ray and CT scan after 3 months. A negative X ray or an asymptomatic patients with stone fragments less than 3 mm big. and a negative urinary colture were the criteria to assess the stone-free status. A statistical analysis was carried out to asses patients data, success and complications rates, re-treatment rate and need for auxiliary treatment RESULTS: Between January 2014 and June 2016, 132 consecutive patients were enrolled in this study. 44 pts for the group A, 47 for group B and 41 for group C. The mean stone size was 16.38 mm. in Group A, 17.82 mm. in Group B and 15.23 mm. in Group C (p=0.34). The overall stone free rate was 86.3% for group A, 82.9% for group B and 78.0 % for group C. The retreatment rate was significantly higher in group C compared to the other two groups, 12.1% (p<0.05). The auxiliary procedure rate was comparable for group A and B and C (p>0.05). The complication rate was 13.6%, 4.2% and 2.4% respectively for group A, B and C CONCLUSIONS: PCNL and MP were more effective than UMP to obtain a better stone free rate. Auxiliary and re-treatment rate were similar. On the other hand for such this kind of stones PCNL had more complications. MP and UMP find a better indication in stones less than 1.5 cm in size Source of Funding: No © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e713-e714 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Silvia Ciarlariello* More articles by this author Maria Chiara Sighinolfi More articles by this author Umberto Besana More articles by this author Javier Romero Otero More articles by this author Pietro Bono More articles by this author Giuseppe Pedaci More articles by this author Stefano Puliatti More articles by this author Luigi Bevilacqua More articles by this author Ahmed Eissa More articles by this author Giorgio Bozzini More articles by this author Lorenzo Berti More articles by this author Raffaele Inzillo More articles by this author Marco Amato More articles by this author Tahsin Batuan Aydogan More articles by this author Salvatore Micali More articles by this author Bernardo Rocco More articles by this author Carlo Buizza More articles by this author Expand All Advertisement PDF downloadLoading ...