Evaluation Of The Effectiveness And Complication Profile In The Treatment Of Stones Up To 1.5 Cm In The Renal Pelvis: Remote Shock Wave Lithotripsy, Retrograde Intrarenal Surgery And Percutaneous Nephrolithopaxy
DOI:
https://doi.org/10.63682/jns.v14i32S.7807Abstract
The aim of the study was to conduct a comparative analysis of the effectiveness and frequency of complications in the treatment of renal nodules up to 1.5 cm in the renal pelvis using three methods: remote shock wave lithotripsy (RVL), retrograde intrarenal surgery (RIR) and percutaneous nephrolithopaxy (PCN). The study included 150 patients evenly divided into three groups, depending on the treatment method used. The clinical efficacy (stone-free rate), the frequency of repeated interventions, the complication profile (according to the Clavien-Dindo scale), the duration of hospitalization and the overall recovery of the patient were evaluated. The highest rate of complete stone removal (SFR) was recorded in the PKN group (96%), while the incidence of complications was moderate. RIRX provided a high level of efficiency (90%) with minimal invasiveness. DVL showed the lowest effectiveness (66%) and the highest risk of repeated procedures, however, it was characterized by the shortest period of hospitalization. All three methods have clinical significance in the treatment of renal pelvis stones up to 1.5 cm, however, the choice of optimal tactics should be based on the characteristics of the stone, the anatomical features of the patient and the resource capabilities of the institution. RIRX and PKN demonstrate higher efficiency compared to DVL with a comparable safety profile.
Downloads
Metrics
References
Turk Ch., Neithardt D., Petras K. and others. A guide to urolithiasis. European Association of Urologists (EAU Guidelines) – 2023. URL: https://uroweb.org/guidelines/urolithiasis (date of reference: 06/28/2025).
. Rogachev A.G., Panin A.A., Sitnikov V.V. Modern approaches to the treatment of urolithiasis: efficacy and safety // Urology. 2022. No. 3. pp. 45-51.
. Rassweiler J.J., Knoll T., Köhrmann K.U. et al. Shock wave technology and application: an update // Eur Urol. 2011;59(5):784–796. DOI: 10.1016/j.eururo.2011.02.033.
Assimos D., Krambeck A., Miller N.L. et al. Surgical management of stones: AUA/Endourology Society guideline. Part II // J Urol. 2016;196(4):1161-1169. DOI: 10.1016/j.juro.2016.05.090.
. Zaitsev A.V., Kolesnikov A.I., Gvozdev A.N. et al. Comparative evaluation of the effectiveness of retrograde intrarenal surgery and remote lithotripsy // Russian Journal of Urology. 2021. No. 6. pp. 35-40.
. Skolarikos A., Papatsoris A.G. Percutaneous nephrolithotomy and its legacy // World J Urol. 2017;35:1353-1359. DOI: 10.1007/s00345-017-2067-9 .
Preminger G.M., Assimos D.G., Lingeman J.E. et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations // J Urol. 2005;173(6):1991-2000. DOI: 10.1097/01.ju.0000161171.67806.2a.
. Artemyev S.A., Kononov A.V., Derevyanko V.Yu. Minimally invasive methods of treatment of urolithiasis: a retrospective analysis // Urological bulletin. 2020. Vol. 10, No. 2. pp. 20-25.
. Türk C., Petřík A., Sarica K. et al. EAU Guidelines on Interventional Treatment for Urolithiasis // Eur Urol. 2016;69(3):475–482. DOI: 10.1016/j.eururo.2015.07.041.
. Michel M.S., Trojan L., Rassweiler J.J. Complications in percutaneous nephrolithotomy // Eur Urol. 2007;51(4):899–906. DOI: 10.1016/j.eururo.2006.10.020.
. Pearle M.S., Nadler R.B., Bercowsky E. et al. Prospective randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole calculi <1 cm // J Urol. 2001;166(6):2072-2080. DOI: 10.1016/S0022-5347(05)65518-6.
. Khairullin R.I., Mingazov M.N., Sabitov R.Kh. and others. The experience of using percutaneous nephrolithotomy in patients with complicated ICD // Bulletin of modern Clinical Medicine. 2021. No. 4. pp. 73-78.
. Deters L.A., Dagrosa L.M., Pais V.M. Ureteroscopy for renal stones: current status and future directions // Curr Opin Urol. 2018;28(2):133-138. DOI: 10.1097/MOU.0000000000000482.
. Rakhimov Sh.M., Medzhidov F.I. Choice of treatment method for patients with Kidney Stones: A practical guide // Russian urology. 2022. No. 4. pp. 12-18.
. Bultitude M.F., Rees J. Management of renal stones // BMJ. 2012;345:e5499. DOI: 10.1136/bmj.e5499.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Akaeva Maryam Magomedovna, Gamzatov Zalimkhan Magomed-Kamilovich, Azizova Paizanat Magomedovna, Zairbekova Milana Tagirovna, Manatova Patimat Musaevna, Akhmedova Alina Muminovna, Akhmedova Aida Muminovna, Aslanova Amina Germanovna, Khalidova Patimat Magomedovna, Kurbaiilova Shahruzat Shamilevna
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
