MP68-04 SUCTIONING FLEXIBLE URETEROSCOPIC LITHOTRIPSY IN THE OBLIQUE SUPINE LITHOTOMY POSITION AND SUPINE LITHOTOMY POSITION: A COMPARATIVE STUDY

You have accessJournal of UrologyStone Disease: Surgical Therapy VI1 Apr 2017MP68-04 SUCTIONING FLEXIBLE URETEROSCOPIC LITHOTRIPSY IN THE OBLIQUE SUPINE LITHOTOMY POSITION AND SUPINE LITHOTOMY POSITION: A COMPARATIVE STUDY Leming Song, Xiaolin Deng, Donghua Xie, and Jianrong Huang Leming SongLeming Song More articles by this author , Xiaolin DengXiaolin Deng More articles by this author , Donghua XieDonghua Xie More articles by this author , and Jianrong HuangJianrong Huang More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2320AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is no research report to compare clinical outcomes of flexible ureteroscopic lithotripsy (URS) at different body positions. We sought to compare the safety and efficacy of oblique supine lithotomy position and supine lithotomy position in suctioning flexible URS. METHODS A total of 82 patients with upper urinary calculi were divided into two groups. Group 1 included 47 patients who were treated by suctioning flexible URS in oblique supine lithotomy position. Group 2 included 35 patients who were treated in supine lithotomy position. There were no significant statistical differences in the age, gender and rate of comorbidities between the two groups before surgery (p>0.05). The operative time, stone-free rates at postoperative day 30, renal pelvic pressure (RPP) ,postoperative complications (graded by the Clavien system) and length of stay were compared. RESULTS Retrograde intrarenal surgery was successful in 73 patients in the first surgery; it was also completed successfully in other 9 patients after indwelling a double-J stent for 2 weeks. Compared with supine lithotomy position, a significantly greater stone-free rate on postoperative day 30 and a significantly shorter operative time were noted (p<0.05 each). There were no differences in complication rates of Clavien grade I and Clavien grade II, RPP and length of hospital stay (p> 0.05). CONCLUSIONS Suctioning flexible URS in the oblique supine lithotomy position is safe and more effective than the supine lithotomy position. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e919 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Leming Song More articles by this author Xiaolin Deng More articles by this author Donghua Xie More articles by this author Jianrong Huang More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...