Author/Authors :
Kiraç ، Mustafa نويسنده Department of Urology, Koru Hospital, Ankara, Turkey , , Tepeler، Abdulkadir نويسنده Department of Urology, Bezmialem Vakif University, Istanbul, Turkey. , , Guneri، Cagri نويسنده Department of Urology, Koru Hospital, Ankara, Turkey. , , Kalkan، Senad نويسنده Department of Urology, Bezmialem Vakif University, Istanbul, Turkey. , , Kardas، Sina نويسنده Department of Urology, Bezmialem Vakif University, Istanbul, Turkey. , , Armagan، Abdullah نويسنده Department of Urology, Bezmialem Vakif University, Istanbul, Turkey. , , Biri ، Hasan Biri نويسنده Department of Urology, University of Gazi, Ankara ,
Abstract :
Purpose: To discuss whether fluoroscopic imaging is essential during the ureteroscopic treatment
of kidney stones in an effort to diminish radiation exposure.
Materials and Methods: Seventy-six patients with kidney stones were treated with retrograde
intrarenal surgery (RIRS). In the operation room, a mobile C-arm fluoroscopy system
was ready to use in case fluoroscopic imaging was needed. The manipulations were performed
with tactile and visual cues. The perioperative and postoperative parameters were
retrospectively evaluated.
Results: The mean age of the patients was 39.9 ± 13.8 years. The mean stone size was 14.1
± 4.1 mm. The insertion of the access sheath was performed over the guidewire under single
shoot fluoroscopic imaging in all patients. Additional fluoroscopic imaging was required to
localize the stone (n = 2) and to determine the collecting system anatomy (n = 2) for 4 (5.2%)
patients with previous renal surgery and severe hydronephrosis. Stone-free status was accomplished
in 63 (82.9%) patients.
Conclusion: The RIRS with low-dose fluoroscopy protocol for kidney stones can be safely
and effectively performed in patients with no special circumstances such as anatomical abnormalities
or calyceal diverticular stones
