Treatment Strategies for Kidney Stones Following ESWL Failure: A Prospective Comparative Study of Three Surgical Approaches

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dc.authoridTaskiran, Arda Taskin/0000-0003-4556-3475
dc.authoridBaba, Dursun/0000-0002-4779-6777;
dc.contributor.authorBaba, Dursun
dc.contributor.authorDilek, Ismail Eyup
dc.contributor.authorBasaran, Ekrem
dc.contributor.authorSenoglu, Yusuf
dc.contributor.authorBalik, Ahmet Yildirim
dc.contributor.authorTaskiran, Arda Taskin
dc.contributor.authorYuksel, Alpaslan
dc.date.accessioned2025-10-11T20:47:38Z
dc.date.available2025-10-11T20:47:38Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective: This study aims to evaluate the efficacy and safety of retrograde intrarenal stone surgery (RIRS), mini-percutaneous nephrolithotomy (miniPCNL), and PCNL in patients with 1-2 cm kidney stones who failed extracorporeal shock wave lithotripsy (ESWL). Materials and Methods: This prospective study analyzed the medical records of 90 patients who underwent RIRS (n=29), miniPCNL (n=31), or PCNL (n=30) after unsuccessful ESWL treatment. The groups were compared based on operative time, hospital stay, complication rates, narcotic analgesic use, catheterization requirements, perioperative hemoglobin changes, transfusion needs, and treatment efficacy. Statistical analyses were performed using appropriate methods based on variable distribution. Results: RIRS resulted in significantly shorter hospital stays than miniPCNL and PCNL groups (p<0.001). MiniPCNL patients also had a shorter hospital stay than those in the PCNL group (p=0.047). The shortest operative time was observed in the PCNL group (59.9 min) compared to both the RIRS and miniPCNL groups (p<0.05). However, PCNL was associated with significantly higher narcotic analgesic use, greater hemoglobin reduction, and longer hospitalization. No significant differences were found among the three groups regarding transfusion requirements, residual stone rates, or overall complications. Conclusion: All three surgical methods were effective and safe for treating kidney stones measuring 1-2 cm in patients who previously failed ESWL. However, considering the shorter hospital stay and lower complication rates, RIRS and miniPCNL may be preferable options, while PCNL should be considered in selected cases.en_US
dc.description.sponsorshipDi zce University Scientific Research Projects (DUBAP) [2014.04.02.285]en_US
dc.description.sponsorshipFinancial Disclosure: This study was supported by Di zce University Scientific Research Projects (DUBAP) with the project number 2014.04.02.285.en_US
dc.identifier.doi10.4274/jus.galenos.2025.2024-9-10
dc.identifier.endpage86en_US
dc.identifier.issn2148-9580
dc.identifier.issue2en_US
dc.identifier.startpage79en_US
dc.identifier.trdizinid1316399en_US
dc.identifier.urihttps://doi.org/10.4274/jus.galenos.2025.2024-9-10
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1316399
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21501
dc.identifier.volume12en_US
dc.identifier.wosWOS:001502480500001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectESWLen_US
dc.subjectkidney stoneen_US
dc.subjectminiPCNLen_US
dc.subjectpercutaneous nephrolithotomyen_US
dc.subjectRIRSen_US
dc.titleTreatment Strategies for Kidney Stones Following ESWL Failure: A Prospective Comparative Study of Three Surgical Approachesen_US
dc.typeArticleen_US

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