Comparing of different methods for prevention stone migration during ureteroscopic lithotripsy
Haluk Sen1, Omer Bayrak, Sakip Erturhan
1Department of Urology, University of Gaziantep, Gaziantep, Turkey.
Urologia Internationalis
|July 11, 2013
Summary
Stone Cone™ and PercSys significantly reduced ureteral stone migration during ureterorenoscopy (URS) compared to no intervention. Lidocaine jelly did not show a significant preventive effect against stone migration.
Area of Science:
- Urology
- Endourology
- Nephrolithiasis Management
Background:
- Ureteral stone migration is a common complication during ureterorenoscopy (URS).
- Effective prevention strategies are crucial to improve treatment outcomes.
- Existing methods for preventing stone migration during URS require evaluation.
Purpose of the Study:
- To compare the efficacy of Stone Cone™, PercSys, and lidocaine jelly instillation.
- To assess the prevention of stone migration during ureterorenoscopy (URS).
- To evaluate these methods against a control group with no intervention.
Main Methods:
- Prospective evaluation of 100 patients undergoing URS for proximal ureteral stones.
- Patients were divided into four groups: control, Stone Cone™, PercSys, and lidocaine jelly.
- Stone migration rates were recorded and compared across the four groups.
Main Results:
- Stone Cone™ (4.5%) and PercSys (8.7%) showed significantly lower migration rates than the control group (31.8%).
- Lidocaine jelly group (21.7%) did not demonstrate a statistically significant reduction in migration compared to the control.
- The difference in migration rates between Stone Cone™ and PercSys was not statistically significant.
Conclusions:
- Stone Cone™ and PercSys are effective methods for preventing ureteral stone migration during URS.
- These devices offer a significant advantage over no intervention for managing proximal ureteral stones.
- Lidocaine jelly instillation is not effective in preventing stone migration during URS.
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