The effects of shock wave lithotripsy and retrograde intrarenal surgery on renal function.


Turan T., Isman F., Efiloğlu Ö., Genc K., Şendoğan F., Danacioğlu Y., ...More

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy, pp.1-6, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume:
  • Publication Date: 2020
  • Doi Number: 10.1080/13645706.2020.1741388
  • Title of Journal : Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
  • Page Numbers: pp.1-6

Abstract

Introduction: The aim of this study was to compare the early effects of shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) on renal function using the cystatin C levels. Material and methods: Serum samples were taken from each of the patients preoperatively, on the first postoperative day, and on the 30th postoperative day in order to evaluate the renal damage. The cystatin C level was determined using a particle-enhanced turbid metric immuno- assay with a clinical chemistry analyzer.

Results: In the comparison between the preoperative and postoperative cystatin C levels on day 1, there was an increase in the SWL group (p1⁄4.001); however, the decrease in the RIRS group was statistically significant (1⁄4 .007). There were statistically significant differences in the cystatin C levels on the first postoperative day in both groups (p1⁄4.001). In the SWL group, there was a statistically significant increase between the preoperative and the 30th postopera- tive day cystatin C levels (1⁄4 .006), but no differences were found between these levels in the RIRS group or between the two groups (1⁄4 .255).

Conclusions: RIRS may be the preferred procedure for patients who need more renal function protection when treating renal stones <2 cm