Complications of flexible ureterorenoscopy: a systematic review

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Abstract

Retrograde intrarenal surgery (RIRS) is a type of endoscopic intervention on the kidneys performed using a semi-rigid or flexible fiber optic endoscope. RIRS is recommended by national clinical guidelines for stone management sized up to 20 mm. However, like any other surgical intervention, RIRS is associated with the risk of complications. Complications affect the patient’s quality of life, and cause additional costs determined by prolonged hospital stay and subsequent treatment. This systematic review is devoted to the complications of RIRS, methods of their prevention and treatment, which should make possible to increase the effectiveness and safety of care for patients with urolithiasis.

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About the authors

V. A. Malkhasyan

Russian University of Medicine; Botkin City Clinical Hospital

Author for correspondence.
Email: vigenmalkhasyan@gmail.com
ORCID iD: 0000-0002-2993-884X

M.D., Professor of the Department of Urology, Russian University of Medicine; Head of Urology Department №67, Botkin City Clinical Hospital 

Russian Federation, Moscow; Moscow

A. G. Martov

A.I. Burnazyan Federal Medical Biophysical Center of the FMBA of Russia; M.V. Lomonosov Medical Research and Educational Center Moscow State University

Email: martovalex@mail.ru
ORCID iD: 0000-0001-6324-6110

Corresponding member of the Russian Academy of Sciences, M.D., Professor, Head of the Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia; senior researcher of the Medical Research and Educational Center of Lomonosov Moscow State University

Russian Federation, Moscow; Moscow

N. K. Gadzhiev

N.I. Pirogov High Medical Technologies Clinic, Saint Petersburg State University

Email: vigenmalkhasyan@gmail.com
ORCID iD: 0000-0002-6255-0193

M.D., Deputy Director for the Medical part (Urology) 

Russian Federation, Saint Petersburg

S. O. Sukhikh

Botkin City Clinical Hospital

Email: docsukhikh@gmail.ru
ORCID iD: 0000-0002-3840-0259

Ph.D., urologist 

Russian Federation, Moscow

B. L. Grigoryan

Russian University of Medicine

Email: bagybaga97@gmail.com
ORCID iD: 0000-0002-7698-0653

Resident of the Department of Urology

Russian Federation, Moscow

D. Yu. Pushkar

Russian University of Medicine; Botkin City Clinical Hospital

Email: pushkardm@mail.ru
ORCID iD: 0000-0002-6096-5723

Academician of the Russian Academy of Sciences, M.D., Professor, Head of the Department of Urology of the Russian University of Medicine; Head, Moscow Urological Centre, Botkin City Clinical Hospital

Russian Federation, Moscow; Moscow

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2. Fig. 1. Block diagram of electronic search of studies on PRISMA

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3. Fig. 2. Contrast-enhanced multispiral computed tomography of the urinary system, 1 - subcapsular hematoma of the left kidney after flexible URS

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