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Retrospective analysis of the results of transurethral contact pyelocalycolithotripsy in patients with kidney stones
- Authors: Nazarov T.K.1, Rychkov I.V.1, Akhmedov M.A.2, Trubnikova K.E.3, Tursunov A.I.1, Nikolaev V.A.1
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Affiliations:
- North-Western State Medical University named after I.I. Mechnikov of the Ministry of Healthcare of the Russian Federation
- City polyclinic No. 71.
- Consulting and Diagnostic Center for children
- Issue: Vol 10, No 2 (2020)
- Pages: 125-131
- Section: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/25305
- DOI: https://doi.org/10.17816/uroved102125-131
- ID: 25305
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Abstract
Transurethral contact lithotripsy is a promising treatment method and occupies an important place among endoscopic methods for removing kidney stones.
The aim of the study was to identify the advantages and disadvantages of transurethral contact pyelocalycolithotripsy in patients with kidney stones based on retrospective analysis.
Material and methods. A retrospective analysis of 178 clinical cases of treating patients aged from 19 to 71 years who suffered from kidney stones and underwent transurethral contact pyelocalycolithotripsy was performed. All patients were diagnosed with calculi of the pyelocaliceal system with the diameter ranging from 10 to 20 mm according to multispiral CT data. Renal calculi had different composition and their density varied from 460 HU to 1440 HU. Pneumatic and laser energy was used for lithotripsy in 102 (57.3%) and 76 (42.7%) patients respectively.
Results. The obtained data show that complete destruction of the stones and the removal of fragments within 2 weeks after transurethral contact pyelocalycolithotripsy was noted in 143 (80.3%) patients. In 140 (78.7%) cases positive results were achieved in one surgical intervention and in 38 (21.3%) patients after two procedures. Complications of this treatment method were relatively rare and included intraoperative bleeding, pelvic perforation, acute pyelonephritis, stent migration, postoperative bleeding, and residual stones.
Conclusion. Transurethral contact pyelocalycolithotripsy is a promising method due to the fact that in most cases it allows you to simultaneously rid a patient of kidney stones with minimal complications
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About the authors
Toirhon Kh. Nazarov
North-Western State Medical University named after I.I. Mechnikov of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: tair-nazarov@yandex.ru
Doctor of Medical Sciences, Professor of the Department of Urology
Russian Federation, Saint PetersburgIvan V. Rychkov
North-Western State Medical University named after I.I. Mechnikov of the Ministry of Healthcare of the Russian Federation
Email: rychkov.iv@gmail.com
Postgraduate, Department of Urology
Russian Federation, Saint PetersburgMagomed A. Akhmedov
City polyclinic No. 71.
Email: maga927@mail.ru
Urologist. Surgical Department
Russian Federation, Saint PetersburgKseniya E. Trubnikova
Consulting and Diagnostic Center for children
Email: kseniya-trubnikova@yandex.ru
Candidate of Medical Sciences, Radiologist
Russian Federation, Saint PetersburgAnisjon I. Tursunov
North-Western State Medical University named after I.I. Mechnikov of the Ministry of Healthcare of the Russian Federation
Email: anisjon08@icloud.com
Postgraduate, Department of Urology
Russian Federation, Saint PetersburgVladimir A. Nikolaev
North-Western State Medical University named after I.I. Mechnikov of the Ministry of Healthcare of the Russian Federation
Email: Vladimir2398@list.ru
Postgraduate, Department of Urology
Russian Federation, Saint PetersburgReferences
- Урология. Национальное руководство / под ред. Н.А. Лопаткина. – М.: Гэотар-Медиа, 2013. [Urologiya. Natsional’noe rukovodstvo. Ed. by N.A. Lopatkin. Moscow: Geotar-Media; 2013 (In Russ.)]
- Bagga HS, Chi T, Miller J, Stoller ML. New insights into the pathogenesis of renal calculi. Urol Clin North Am. 2013;40(1):1-12. https://doi.org/10.1016/j.ucl.2012.09.006.
- Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010;12(2-3):e86-96. 2931286.
- Аполихин О.И., Сивков А.В., Москалева Н.Г., и др. Анализ уронефрологической заболеваемости и смертности в Российской Федерации за десятилетний период (2002–2012 гг.) по данным официальной статистики // Экспериментальная и клиническая урология. – 2014. – № 2. – С. 4–13. [Apolikhin OI, Sivkov AV, Moskaleva NG, et al. Analysis of uronephrological morbidity and mortality in Russian Federation for 2002–2012. Experimental & clinical urology. 2014;(2):4-13. (In Russ.)]
- Вощула В.И. Метафилактика мочекаменной болезни // Здоровье мужчины. – 2015. – № 1. – С. 4–9. [Voshchula VI. Metafilaktika mochekamennoy bolezni. Zdorov’e muzhchiny. 2015;(1):4-9. (In Russ.)]
- Аляев Ю.Г., Глыбочко П.В., Пушкарь Д.Ю. Российские клинические рекомендации. – М.: Медфорум, 2017. [Alyaev YG, Glybochko PV, Pushkar’ DY. Rossiyskie klinicheskie rekomendatsii. Moscow: Medforum; 2017. (In Russ.)]
- Константинова О.В., Шадеркина В.А. Эпидемиологическая оценка мочекаменной болезни в амбулаторной урологической практике // Экспериментальная и клиническая урология. – 2015. – № 1. – С. 11–15. [Konstantinova OV, Shaderkina VA. Epidemiological evaluation of the urolithiasis in outpatient practicy. Experimental & clinical urology. 2015;(1):11-15. (In Russ.)]
- Назаров Т.Х., Рычков И.В., Лебедев Д.Г., и др. Сравнительный анализ данных двухэнергетического компьютерного томографа и результатов минералогического исследования мочевых камней при уролитиазе // Лучевая диагностика и терапия. – 2018. – № 2. – С. 54–58. [Nazarov TKh, Rychkov IV, Lebedev DG, et al. Comparative Analysis Of Data From A Dual-Energy Computer Tomograph And The Results Of A Mineralogical Research Of Urinary Stones. Diagnostic ragiology and radiotherapy. 2018;(2):54-58. (In Russ.)]. https://doi.org/10.22328/2079-5343-2018-9-2-54-58.
- Белай С.И., Довбыш М.А., Белай И.М. Мочекаменная болезнь: актуальность вопроса и перспективы его развития // Вестник Витебского государственного медицинского университета. – 2016. – Т. 15. – № 5. – С. 19–26. [Belay SI, Dovbysh MA, Belay IM. Urolithiasis: urgency of this matter and prospects for its development. Vestnik VGMU. 2016;15(5):19-26. (In Russ.)]. https://doi.org/10.22263/2312-4156.2016.5.19.
- Назаров Т.Х., Ахмедов М.А., Стецик Е.О., и др. Значение некоторых физико-химических и биохимических факторов мочи, предрасполагающих к развитию рецидивного уролитиаза // Профилактическая и клиническая медицина. – 2015. – № 2. – С. 65–71. [Nazarov TKh, Akhmedov MA, Stetsik EO, et al. The value of some physicochemical and biochemical factors of urine predisposingto recurrent urolithiasis. Profil Klin Med. 2015;(2):65-71. (In Russ.)]
- Колпаков И.С. Мочекаменная болезнь. Руководство для врачей. – М.: Медицинское информационное агентство, 2014. – 368 с. [Kolpakov IS. Mochekamennaya bolezn’. Rukovodstvo dlya vrachey. Moscow: Meditsinskoe informatsionnoe agentstvo; 2014. 368 p. (In Russ.)]
- Acharya S, Goyal A, Bhalla AS, et al. In vivo characterization of urinary calculi on dual-energy CT: going a step ahead with sub-differentiation of calcium stones. Acta Radiol. 2015;56(7):881-889. https://doi.org/10.1177/0284185114538251.
- Hidas G, Eliahou R, Duvdevani M, et al. Determination of renal stone composition with dual-energy CT: in vivo analysis and comparison with x-ray diffraction. Radiology. 2010;257(2):394-401. https://doi.org/10.1148/radiol.10100249.
- Хасигов А.В., Хажоков М.А., Ильяш А.В., и др. Эффективность и безопасность дистанционной ударноволновой литотрипсии простых лоханочных камней // Вестник урологии. – 2017. – Т. 5. – № 3. – С. 39–45. [Khasigov AV, Khazhokov MA, Il’yash AV, et al. Effektivnost’ i bezopasnost’ distantsionnoy udarnovolnovoy litotripsii prostykh lokhanochnykh kamney. Vestnik urologii. 2017;5(3):39-45. (In Russ.)]
- Назаров Т.Х., Комяков Б.К., Рычков И.В., и др. Роль маркеров острого повреждения почек при проведении литотрипсии конкрементов высокой плотности // Урология. – 2019. – № 1. – С. 23–27. [Nazarov TKh, Komyakov BK, Rychkov IV, et al. Role of biomarkers of acute kidney damage during lithotripsy of high-density stones. Urologiia. 2019;(1):23-27. (In Russ.)] https://doi.org/10.18565/urology.2019.1.23-27.
- Hesse A, Tiselius H, Siener R, et al. Urinary stones, diagnosis, treatment and prevention of recurrence. Basel: Karger, 2009. 254 p.
- Шевырин А.А., Стрельников А.И. Денситометрическая плотность мочевых конкрементов как фактор прогноза эффективности их дезинтеграции при лечении уролитиаза // Урологические ведомости. – 2018. – Т. 8. – № 4. – C. 17–24. [Shevyrin AA, Strel’nikov AI. Densitometric density of urinary stones as a predictive factor demonstrating their efficiency of disintegration in treatment of urolithiasis. Urologicheskie vedomosti. 2018;8(4):17-24. (In Russ.)]. https://doi.org/10.17816/uroved8417-24.
- Назаров Т.Х., Ахмедов М.А., Рычков И.В., и др. Мочекаменная болезнь: этиопатогенез, диагностика и лечение // Андрология и генитальная хирургия. – 2019. – № 3. – С. 43–51. [Nazarov TKh, Akhmedov MA, Rychkov IV, et al. Urolithiasis: etiopathogenesis, diagnosis and treatment. Andrology and genital surgery journal. 2019;(3):43-51. (In Russ.)]. https://doi.org/10.17650/2070-9781-2019-20-3-43-51.
- Стрельцова О.С., Почтин Д.П., Горбунова Т.А., и др. Стимуляция адаптационных возможностей почек у больных мочекаменной болезнью // Урологические ведомости. – 2019. – Т. 9. – № 3. – C. 13–20. [Strel’tsova OS, Pochtin DP, Gorbunova TA, et al. Stimulyatsiya adaptatsionnykh vozmozhnostey pochek u bol’nykh mochekamennoy bolezn’yu. Urologicheskie vedomosti. 2019;9(3):13-20. (In Russ.)]. https://doi.org/10.17816/uroved9313-20.
- Аляев Ю.Г., Руденко В.И., Газимиев М.А. Мочекаменная болезнь. Современные методы диагностики и лечения. Руководство для врачей. – М.: Гэотар-Медиа, 2010. – 224 с. [Alyaev YG, Rudenko VI, Gazimiev MA. Mochekamennaya bolezn’. Sovremennye metody diagnostiki i lecheniya. Rukovodstvo dlya vrachey. Moscow: Geotar-Media; 2010. 224 p. (In Russ.)]
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