Authors
1
urology / Al-nuaman hospital / Rasafa medical health care / baghdad / Iraq
2
medical city / gazi al-hariri surgical specialty hospital
,
Document Type : Research Paper
Abstract
Background: To investigate the Outcome and complication of retrograde intrarenal surgery for renal stone below 15mm, and evaluate our experience with this type of surgeries.
Aim of the study : To evaluate our experience with flexible ureteroscope in treatment of renal stone below 15 mm and focusing on the operative time, stone free rate and possible complication .
Patient and methods : From August 2019 to December 2020 a 44 patient were selected to perform retrograde intrarenal surgery for renal stone below 15mm, using flexible ureteroscope with holmium laser.
Results : This cross sectional study show mean stone diameter 11.75±1.658 mm. mean operative time 54.66±17.089 min, while the mean lasing time 41.70 ±17.814 min, and the primary stone free rate 77.3%, Follow up done to the patient for duration of 3 months to reach a total stone free rate 88.6%, the complication rate was 18.2% sub classified with Clavien-Dindo Classification to show 7 patients (15.9%) of them were clavien grade 1, while 1 patient (2.27%) were clavien grade 2, no major complication found during the course of the study.
Conclusion: RIRS using flexible ureteroscope with holmium laser is minimally invasive surgery with both safe and effective results and with acceptable hospitalization period and lower complication rate.
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