Document Detail


Flexible ureterorenoscopy with holmium laser in horseshoe kidneys.
MedLine Citation:
PMID:  20573385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the outcome of flexible ureterorenoscopy (F-URS) with the holmium laser in treating stones in the horseshoe kidney (HSK).
METHODS: We retrospectively reviewed the records of 17 patients with a HSK stone (17 renal units) who had undergone F-URS with the holmium laser from December 2004 to May 2009. The presenting symptoms were renal colic, urinary tract infection, or hematuria. F-URS was used in as an alternative after the failure of shock wave lithotripsy in 8 patients (47%) and percutaneous nephrolithotomy failure in 4 patients (23.5%). Follow-up examination was performed after 4-6 weeks with plain radiography and either renal ultrasonography or noncontrast computed tomography. Success was defined as stone-free status or residual fragments <3 mm. The use of auxiliary procedures was considered to indicate treatment failure.
RESULTS: A total of 17 patients were included in the present study (3 females and 14 males). Their age was 16-52 years (mean age ± SD 34.7 ± 6.3). The HSK stone location was 7 mixed caliceal, 3 mixed pelvic and caliceal, and 7 pelvic. The average stone burden was 16 mm (range 7-35). The overall number of procedures was 25 (mean 1.5 procedures/patient). Of the 17 patients, 15 (88.2%) were rendered stone free.
CONCLUSIONS: The results of our study have shown that F-URS with the holmium laser is an efficient minimal invasive procedure for treating HSK stones.
Authors:
Benoit Molimard; Saeed Al-Qahtani; Amine Lakmichi; Majed Sejiny; Sixtina Gil-Diez de Medina; Xavier Carpentier; Olivier Traxer
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-06-22
Journal Detail:
Title:  Urology     Volume:  76     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-06     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1334-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, Tenon University Hospital, Pierre and Marie Curie University, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Holmium
Humans
Kidney / abnormalities*,  radiography
Kidney Calculi / therapy*
Lasers
Lasers, Solid-State / therapeutic use*
Lithotripsy, Laser / instrumentation,  methods*
Male
Middle Aged
Retrospective Studies
Stents
Treatment Outcome
Ureteroscopy / methods*
Young Adult
Chemical
Reg. No./Substance:
7440-60-0/Holmium
Comments/Corrections
Comment In:
Urology. 2010 Dec;76(6):1337-8; author reply 1338   [PMID:  21130249 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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