title: Comparison of shock wave lithotripsy, flexible ureterorenoscopy and percutaneous nephrolithotripsy on moderate size renal pelvis stones.
abstract: To compare success and complication rates of shock wave lithotripsy (SWL), flexible ureterorenoscopy (F-URS) and percutaneous nephrolithotripsy (PNL) according to modified clavien grading system of renal pelvis stones between 1 and 2 cm. The results of 149 patients were evaluated retrospectively. Patients were divided into three groups as 52 for SWL, 47 for F-URS and 50 for PNL. Complications were evaluated by modified Clavien grading system. In the first group, stone-free rates after a mean of 2, 6 sessions was 86 % (45/52). In Group 2, this ratio was 91.4 % (43/47), and in Group 3, it was 98 % (49/50). The success rate in Group 3 was significantly higher than other groups. Complication rates for Group 1, 2 and 3 were 7.6 % (4/52), 6.3 % (3/47) and 12 % (6/50), respectively. Although PNL was the most successful technique compared with other techniques, complications were also higher in this group. Even though PNL is the most successful, it should be performed for selected patient groups and indications should be carefully evaluated.
authors.affiliation: Department of Urology, Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey, drokanbas@hotmail.com.
authors.forename: Okan
authors.initials: O
authors.lastname: Bas
authors.forename: Hasan
authors.initials: H
authors.lastname: Bakirtas
authors.forename: Nevzat Can
authors.initials: NC
authors.lastname: Sener
authors.forename: Ufuk
authors.initials: U
authors.lastname: Ozturk
authors.forename: Can
authors.initials: C
authors.lastname: Tuygun
authors.forename: H N Goksel
authors.initials: HN
authors.lastname: Goktug
authors.forename: M Abdurrahim
authors.initials: MA
authors.lastname: Imamoglu
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D007682:Kidney Pelvis; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018666:Ureteroscopy / Q000009:adverse effects / Q000379:methods*