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PD34-10 THE RELATIONSHIP BETWEEN RENAL PELVIS PRESSURES AND PYELOVENOUS BACKFLOW DURING URETERORENOSCOPY IN A LIVE PORCINE MODEL

˜The œJournal of urology/˜The œjournal of urology(2020)

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摘要
pairments, age less than 18 or more then 75, presence of acute infection, presence of cardiovascular or pulmonary comorbidities. Patients were randomized into three groups: Group A: patients treated with PCNL; Group B: patients treated with MP; Group C: patients treated with UMP. Patients were controlled with abdomen X ray and CT scan after 3 months. A negative X ray or an asymptomatic patients with stone fragments less than 3 mm big. and a negative urinary colture were the criteria to assess the stone-free status. A statistical analysis was carried out to asses patients data, success and complications rates, re-treatment rate and need for auxiliary treatment RESULTS: Between January 2014 and June 2016, 132 consecutive patients were enrolled in this study. 44 pts for the group A, 47 for group B and 41 for group C. The mean stone size was 16.38 mm. in Group A, 17.82 mm. in Group B and 15.23 mm. in Group C (p[0.34). The overall stone free rate was 86.3% for group A, 82.9% for group B and 78.0 % for group C. The retreatment rate was significantly higher in group C compared to the other two groups, 12.1% (p<0.05). The auxiliary procedure rate was comparable for group A and B and C (p>0.05). The complication rate was 13.6%, 4.2% and 2.4% respectively for group A, B and C CONCLUSIONS: PCNL and MP were more effective than UMP to obtain a better stone free rate. Auxiliary and re-treatment rate were similar. On the other hand for such this kind of stones PCNL had more complications. MP and UMP find a better indication in stones less than 1.5 cm in size
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