INITIAL OUTCOMES OF RETROGRADE INTRARENAL SURGERY USING A FLEXIBLE URETEROSCOPE FOR KIDNEY STONES > 20mm AT 19-8 HOSPITAL - MINISTRY OF PUBLIC SECURITY

Tran Thanh Nguyen1, , Hoai Nam Tran1, Ngoc Hanh Dang1, Ngoc Ha Dinh1, Huy Hieu Nguyen1, The Anh Nguyen1, Duy Hoan Nguyen1
1 Bệnh viện 19-8 Bộ Công an

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Abstract

Objectives: To evaluate the effectiveness of retrograde intrarenal surgery (RIRS) using a flexible ureteroscope for stones > 20mm based on research at 19-8 Hospital - Ministry of Public Security. Methods: A prospective, descriptive study was conducted on 24 patients with kidney stones > 20mm who underwent RIRS using a flexible ureteroscope at 19-8 Hospital - Ministry of Public Security from January 2024 to January 2025. Results: The average age was 35.6 ± 12.7 years. The average stone size was 24.7 ± 3.1mm. 79.17% of patients did not require JJ stent placement before stone removal. The average lower-pole infundibulopelvic angle (LIP) was 55.4 ± 15.1°. The average lower-pole infundibular length (IL) was 17.3 ± 6.6mm. The immediate postoperative and after 1 month stone-free rate were 70.83% and 83.33%, respectively. The average operative time was 65.4 ± 17.5 minutes, and the average hospital stay was 3.4 ± 1.2 days. The rates of Clavien-Dindo grade I and II complications were 25% and 20.83%, respectively. Conclusion: RIRS for kidney stones > 20mm using a flexible ureteroscope shows good postoperative results at 19-8 Hospital - Ministry of Public Security.

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References

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