Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Urology Journal

  • Home
  • Instant Online
    • Instant 2023
    • Instant 2022
    • Instant 2021
    • Instant 2020
  • Current
  • Archives
  • Announcements
  • Submissions
  • Author Guidelines
  • About
    • About the Journal
    • Privacy Statement
    • Contact
Advanced Search
  1. Home
  2. Archives
  3. Vol. 19 No. 05 (2022): September-October 2022
  4. ORIGINAL PAPER (ENDOUROLOGY AND STONE DISEASE)

ISSN: 1735-1308

September-October 2022
Vol. 19 No. 05 (2022)

Ureteroscopic Lithotripsy in Reverse Trendelenburg Position and Intraoperative Furosemide

  • cheng-jing zhang
  • Song Xue
  • Ren-Fu Chen
  • Zhen Song
  • Jun-Qi Wang
  • Ru-Min WEN
  • Huan Cheng
  • Ke-Yu Gao

Urology Journal, Vol. 19 No. 05 (2022), , Page 352-355
https://doi.org/10.22037/uj.v19i03.7163 Published 8 November 2022

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Purpose: Upward stone migration is a significant problem during ureteroscopic lithotripsy (URSL) for upper ureteral stone, especially in absence of a ureteral occlusion device. In this study, we evaluated the novel strategy of reverse Trendelenburg position (RTP) and intraoperative diuresis for URSL without ureteral occlusion devices to avoid upward migration.
Materials and Methods: From March 2018 to May 2020, a total of 119 URSLs were performed for upper ureteral stone (6-15 mm) with 67 procedures in RTP and 52 procedures in conventional lithotomy position (CLP). 20 mg of intravenous furosemide was administered prior to stone fragmentation with holmium laser only in RTP group. Patient demographics, stone side, stone size and operative characteristics were recorded and compared between the two groups.
Results: Patient data, stone side and size were similar in the two groups. All procedures were complete without conversion to open surgery and major complications. There was no significant difference in the mean operative time (47.9 ± 7.7 min vs 45.3 ± 7.0 min, P = .062) and mean hospital stay (3.9 ± 0.9 d vs 4.0 ± 1.0 d, P = .336) between the RTP and CLP group. Stone upward migration was significantly less in RTP group (3.0%, 2/67) than in CLP group (19.2%, 10/52) (P = .005). Stone-free rate at one month after initial treatment was 92.5% in RTP group and 73.1% in CLP group (P = .004).
Conclusion: The strategy of placing the patient in RTP and intraoperative administration of intravenous furosemide is simple, feasible and cost-effective in preventing stone upward migration during URSL with holmium laser in absence of a ureteral occlusion device for upper ureteral stone.

Keywords:
  • ureteroscopic lithotripsy; position; diuresis; ureteral stone; upward migration
  • 7163/pdf

How to Cite

zhang, cheng- jing, Xue, S., Chen, R.-F., Song, Z., Wang, J.-Q., WEN, R.-M., Cheng, H., & Gao, K.-Y. (2022). Ureteroscopic Lithotripsy in Reverse Trendelenburg Position and Intraoperative Furosemide. Urology Journal, 19(05), 352-355. https://doi.org/10.22037/uj.v19i03.7163
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Lam JS, Greene TD, Gupta M. Treatment of proximal ureteral calculi: holmium:YAG laser ureterolithotripsy versus extracorporeal shock wave lithotripsy. J Urol. 2002; 167:1972-6.

Hollenbeck BK, Schuster TG, Faerber GJ, Wolf JS Jr. Comparison of outcomes of ureteroscopy for ureteral calculi located above and below the pelvic brim. Urology. 2001; 58:351-6.

Hendrikx AJ, Strijbos WE, de Knijff DW, Kums JJ, Doesburg WH, Lemmens WA. Treatment for extended-mid and distal ureteral stones: SWL or ureteroscopy? Results of a multicenter study. J Endourol. 1999; 13:727-33.

Bagley DH. Expanding role of ureteroscopy and laser lithotripsy for treatment of proximal ureteral and intrarenal calculi. Curr Opin Urol. 2002; 12:277-80.

Bastawisy M, Gameel T, Radwan M, Ramadan A, Alkathiri M, Omar A. A comparison of Stone Cone versus lidocaine jelly in the prevention of ureteral stone migration during ureteroscopic lithotripsy. Ther Adv Urol. 2011; 3:203-10.

Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240:205-13.

Chow GK, Patterson DE, Blute ML, Segura JW. Ureteroscopy: effect of technology and technique on clinical practice. J Urol. 2003; 170:99-102.

Knispel HH, Klän R, Heicappell R, Miller K. Pneumatic lithotripsy applied through deflected working channel of miniureteroscope: results in 143 patients. J Endourol. 1998; 12:513-5.

Maislos SD, Volpe M, Albert PS, Raboy A. Efficacy of the Stone Cone for treatment of proximal ureteral stones. J Endourol. 2004; 18:862-4.

Wang CJ, Huang SW, Chang CH. Randomized trial of NTrap for proximal ureteral stones. Urology. 2011; 77:553-7.

Marguet CG, Sung JC, Springhart WP, et al. In vitro comparison of stone retropulsion and fragmentation of the frequency doubled, double pulse nd:yag laser and the holmium:yag laser. J Urol. 2005; 173:1797-800.

Yu W, Cheng F, Zhang X, et al. Retrograde ureteroscopic treatment for upper ureteral stones: a 5-year retrospective study. J Endourol. 2010; 24:1753-7.

Yoo J, Lee SJ, Choe HS, Kim HY, Lee JH, Lee DS. Anterograde irrigation - assisted ureteroscopic lithotripsy in patients with percutaneous nephrostomy. Int Braz J Urol. 2019; 45:406-7.

Dretler SP. Ureteroscopy for proximal ureteral calculi: prevention of stone migration. J Endourol. 2000; 14:565-7.

Feng C, Ding Q, Jiang H, et al. Use of NTrap during ureteroscopic Holmium:YAG laser lithotripsy of upper ureteral calculi. Minim Invasive Ther Allied Technol. 2012; 21:78-82.

Kesler SS, Pierre SA, Brison DI, Preminger GM, Munver R. Use of the Escape nitinol stone retrieval basket facilitates fragmentation and extraction of ureteral and renal calculi: a pilot study. J Endourol. 2008; 22:1213-7.

Patel RM, Walia AS, Grohs E, Okhunov Z, Landman J, Clayman RV. Effect of positioning on ureteric stone retropulsion: 'gravity works'. BJU Int. 2019; 123:113-7.

Canguven O, Boz M, Bulbul M, Selimoglu A, Albayrak S. Withdraw of the ureteroscope causes fragmented ureter stones to disperse. Int Braz J Urol. 2013; 39:756-7.

Ziaee SA, Hosseini SR, Kashi AH, Samzadeh M. Impact of sleep position on stone clearance after shock wave lithotripsy in renal calculi. Urol Int. 2011; 87:70-4.

Jiang H, Wu Z, Ding Q, Zhang Y. Ureteroscopic treatment of ureteral calculi with holmium: YAG laser lithotripsy. J Endourol. 2007; 21:151-4.

Ursiny M, Eisner BH. Cost-effectiveness of anti-retropulsion devices for ureteroscopic lithotripsy. J Urol. 2013; 189:1762-6.

  • Abstract Viewed: 0 times
  • 7163/pdf Downloaded: 0 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

In case of persistent problems in registration, primary uploading of a submission or uploading of a revision, please send us the submission files on the journal email at:

urologyjournal@sbmu.ac.ir

and please attach the screenshot of the error or problem you encountered in uploading.

 

Make a Submission

          Journal Research in Urology

Information
  • For Readers
  • For Authors
Keywords
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact
The template of this website is designed by Sinaweb