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Updated: Jul 15, 2026

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Bilateral same session ureteroscopy: safety and efficacy.

Francesco Saverio Grossi¹, Donato Barnaba, Michele Raguso

¹Divisione di Urologia, PO. Martina Franca, Taranto, Italy. grossifs@libero.it

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica

|May 9, 2007

Summary

Bilateral synchronous ureteroscopy is a safe and effective treatment for ureteric stones, comparable to staged procedures. This approach reduces costs and the need for multiple anesthetics, offering a high stone-free rate with minimal risks.

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Area of Science:

Urology
Endourology
Nephrolithiasis Management

Background:

Ureteroscopy is the primary treatment for ureteric stones.
Bilateral ureteric calculi can be managed via staged or synchronous procedures.
Synchronous procedures may reduce costs and anesthetic requirements compared to staged approaches.

Purpose of the Study:

To evaluate the safety and efficacy of bilateral same-session ureteroscopy.
To compare outcomes of synchronous bilateral ureteroscopy with staged bilateral or unilateral procedures.

Main Methods:

Retrospective review of patient data.
Comparison of stone size, site, and postoperative symptoms between different surgical approaches.
Assessment of outcomes including stone-free rates, pain, and urinary discomfort.

Main Results:

No statistically significant differences in stone size, site, or postoperative pain were found between groups.
Slightly higher incidence of hematuria and urinary discomfort in the bilateral same-session ureteroscopy group, without statistical significance.
High stone-free rates achieved with bilateral synchronous ureteroscopy, comparable to staged treatments.

Conclusions:

Bilateral synchronous ureteroscopy is a safe and effective procedure for treating bilateral ureteric stones.
This approach offers advantages in terms of reduced costs, fewer procedures, and avoidance of a second anesthesia.
Use of a DJ stent post-procedure minimizes complications with minimal patient discomfort.