A comparison among PCNL, Miniperc and Ultraminiperc for lower calyceal stones between 1 and 2 cm: a prospective, comparative, multicenter and randomised study

Conventional Percutaneous Lithotripsy (PCNL) has been an effective, successful and easy approach for especially > 1 cm sized calyceal stones however risks of complications and nephron loss are inevitable. Our aim is to compare the efficacy and safety of PCNL, MiniPerc (MP) and UltraMiniPerc (UMP)...

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Bibliographic Details
Published in:BMC urology 2020-06, Vol.20 (1), p.67-67, Article 67
Main Authors: Bozzini, Giorgio, Aydogan, Tahsin Batuhan, Müller, Alexander, Sighinolfi, Maria Chiara, Besana, Umberto, Calori, Alberto, Lorenzo, Berti, Govorov, Alexander, Pushkar, Dmitry Y, Pini, Giovannalberto, Pastore, Antonio Luigi, Romero-Otero, Javier, Rocco, Bernardo, Buizza, Carlo
Format: Article
Language:English
Subjects:
Adult
Aged
CAT scans
Catheters
Comorbidity
Comparative analysis
Computed tomography
Female
Health aspects
Humans
Intubation
Kidney Calculi - pathology
Kidney Calculi - surgery
Kidney Calculi - therapy
Kidney Calices
Lasers
Lithotripsy
Lithotripsy - adverse effects
Lower calyces stones
Male
Medical imaging
Middle Aged
Miniperc
Nephrolithotomy, Percutaneous - adverse effects
Nephrolithotomy, Percutaneous - methods
Pain
Patients
PCNL
Percutaneous
Political aspects
Prospective Studies
Regression analysis
Stone-free rate
Surgeons
Treatment Outcome
Ultraminiperc
Urology
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Summary:Conventional Percutaneous Lithotripsy (PCNL) has been an effective, successful and easy approach for especially > 1 cm sized calyceal stones however risks of complications and nephron loss are inevitable. Our aim is to compare the efficacy and safety of PCNL, MiniPerc (MP) and UltraMiniPerc (UMP) for lower calyceal stones between 1 and 2 cm with a multicenter prospective randomized study. Between January 2015 and June 2018, 132 consecutive patients with single lower calyceal stone were enrolled. Patients were randomized in three groups; A: PCNL; B: MP; C: UMP. 44 patients for the Group A, 47 for Group B and 41 for Group C. Exclusion criterias were the presence of coagulation impairments, age of  75, presence of infection or serious comorbidities. Patients were controlled with computerized tomography scan after 3 months. A negative CT or an asymptomatic patient with stone fragments
ISSN:1471-2490
1471-2490
DOI:10.1186/s12894-020-00636-z