Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases
<h3>Purpose</h3><p dir="ltr">To investigate the efficacy and safety of flexible ureteroscopy with thulium fiber laser lithotripsy for management of renal staghorn stones.</p><h3>Materials and Methods</h3><p dir="ltr">Thirty-two patients w...
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2024
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| _version_ | 1864513541543821312 |
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| author | Tawiz Gul (17824226) |
| author2 | Mahmoud laymon (22046438) Maged Alrayashi (17824232) Mohamed Abdelkareem (17824235) Morshed Salah (17824244) |
| author2_role | author author author author |
| author_facet | Tawiz Gul (17824226) Mahmoud laymon (22046438) Maged Alrayashi (17824232) Mohamed Abdelkareem (17824235) Morshed Salah (17824244) |
| author_role | author |
| dc.creator.none.fl_str_mv | Tawiz Gul (17824226) Mahmoud laymon (22046438) Maged Alrayashi (17824232) Mohamed Abdelkareem (17824235) Morshed Salah (17824244) |
| dc.date.none.fl_str_mv | 2024-06-27T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00240-024-01598-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Successful_treatment_of_staghorn_stones_with_flexible_ureteroscopy_and_thulium_fiber_laser_TFL_lithotripsy_initial_experience_with_32_cases/29899574 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Staghorn stones Flexible ureteroscopy Thulium fiber laser |
| dc.title.none.fl_str_mv | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">To investigate the efficacy and safety of flexible ureteroscopy with thulium fiber laser lithotripsy for management of renal staghorn stones.</p><h3>Materials and Methods</h3><p dir="ltr">Thirty-two patients with staghorn stones were recruited. Stone characteristics including: width, length, volume and density were analyzed. Ablation speed, laser efficacy and laser activity were recorded. The primary outcome was to assess stone free rate after the procedure using spiral CT scan.</p><h3>Results</h3><p dir="ltr">The median stone volume was 7339 (3183–53838) mm<sup>3</sup>. Median operative and lasing time were 135 (70–200) and 117 (50–180) minutes, respectively. The mean total energy delivered was 63.9 ± 30 KJ with a median ablation speed of 1.3 (0.5–4.9) mm<sup>3</sup>/sec. Mean laser efficacy was 7.5 ± 3.6 Joules/mm<sup>3</sup>. A total of 12 complications occurred in 8 patients (25%). The median hospital stay was 7 (3.5–48) hours and 30 patients (93.7%) were discharged on the same day of surgery. After the first session, seventeen patients (53%) were stone free with no residual fragments while six (19%) patients had residuals £ 2 mm. Nine patients (28%) had residuals > 2 mm with median residual size of 4 (3–9) mm. A second intervention was required in 4 cases.The overall stone free rate after completion of treatment was 65.6%.</p><h3>Conclusion</h3><p dir="ltr">Flexible ureteroscopy with thulium fiber laser lithotripsy is a safe and effective treatment option for staghorn stones with stone free rate comparable to standard PCNL with advantages of minimal morbidity, minimal blood loss and shorter hospital stay.</p><h2>Other Information</h2><p dir="ltr">Published in: Urolithiasis<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00240-024-01598-9" target="_blank">https://dx.doi.org/10.1007/s00240-024-01598-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_141a4d8ba1eaf4f2cb18fb165fa98c8e |
| identifier_str_mv | 10.1007/s00240-024-01598-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29899574 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 casesTawiz Gul (17824226)Mahmoud laymon (22046438)Maged Alrayashi (17824232)Mohamed Abdelkareem (17824235)Morshed Salah (17824244)Biomedical and clinical sciencesClinical sciencesStaghorn stonesFlexible ureteroscopyThulium fiber laser<h3>Purpose</h3><p dir="ltr">To investigate the efficacy and safety of flexible ureteroscopy with thulium fiber laser lithotripsy for management of renal staghorn stones.</p><h3>Materials and Methods</h3><p dir="ltr">Thirty-two patients with staghorn stones were recruited. Stone characteristics including: width, length, volume and density were analyzed. Ablation speed, laser efficacy and laser activity were recorded. The primary outcome was to assess stone free rate after the procedure using spiral CT scan.</p><h3>Results</h3><p dir="ltr">The median stone volume was 7339 (3183–53838) mm<sup>3</sup>. Median operative and lasing time were 135 (70–200) and 117 (50–180) minutes, respectively. The mean total energy delivered was 63.9 ± 30 KJ with a median ablation speed of 1.3 (0.5–4.9) mm<sup>3</sup>/sec. Mean laser efficacy was 7.5 ± 3.6 Joules/mm<sup>3</sup>. A total of 12 complications occurred in 8 patients (25%). The median hospital stay was 7 (3.5–48) hours and 30 patients (93.7%) were discharged on the same day of surgery. After the first session, seventeen patients (53%) were stone free with no residual fragments while six (19%) patients had residuals £ 2 mm. Nine patients (28%) had residuals > 2 mm with median residual size of 4 (3–9) mm. A second intervention was required in 4 cases.The overall stone free rate after completion of treatment was 65.6%.</p><h3>Conclusion</h3><p dir="ltr">Flexible ureteroscopy with thulium fiber laser lithotripsy is a safe and effective treatment option for staghorn stones with stone free rate comparable to standard PCNL with advantages of minimal morbidity, minimal blood loss and shorter hospital stay.</p><h2>Other Information</h2><p dir="ltr">Published in: Urolithiasis<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00240-024-01598-9" target="_blank">https://dx.doi.org/10.1007/s00240-024-01598-9</a></p>2024-06-27T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00240-024-01598-9https://figshare.com/articles/journal_contribution/Successful_treatment_of_staghorn_stones_with_flexible_ureteroscopy_and_thulium_fiber_laser_TFL_lithotripsy_initial_experience_with_32_cases/29899574CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/298995742024-06-27T09:00:00Z |
| spellingShingle | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases Tawiz Gul (17824226) Biomedical and clinical sciences Clinical sciences Staghorn stones Flexible ureteroscopy Thulium fiber laser |
| status_str | publishedVersion |
| title | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| title_full | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| title_fullStr | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| title_full_unstemmed | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| title_short | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| title_sort | Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases |
| topic | Biomedical and clinical sciences Clinical sciences Staghorn stones Flexible ureteroscopy Thulium fiber laser |