Can Ureteroscopy And Retrograde Intrarenal Surgery Be Safe And Effectively Performed With No Auxiliary Fluoroscopy? A Systematic Review

You have accessJournal of UrologyStone Disease: Surgical Therapy I (MP06)1 Sep 2021MP06-06 CAN URETEROSCOPY AND RETROGRADE INTRARENAL SURGERY BE SAFE AND EFFECTIVELY PERFORMED WITH NO AUXILIARY FLUOROSCOPY? A SYSTEMATIC REVIEW Catarina Laranjo Tinoco, Inês Marques, Jorge Diogo Ribeiro, Andreia Cardoso, Ricardo Matos Rodrigues, Sara Anacleto, Pedro Passos, Estevão Lima, Mário Cerqueira Alves, and Paulo Mota Catarina Laranjo TinocoCatarina Laranjo Tinoco More articles by this author , Inês MarquesInês Marques More articles by this author , Jorge Diogo RibeiroJorge Diogo Ribeiro More articles by this author , Andreia CardosoAndreia Cardoso More articles by this author , Ricardo Matos RodriguesRicardo Matos Rodrigues More articles by this author , Sara AnacletoSara Anacleto More articles by this author , Pedro PassosPedro Passos More articles by this author , Estevão LimaEstevão Lima More articles by this author , Mário Cerqueira AlvesMário Cerqueira Alves More articles by this author , and Paulo MotaPaulo Mota More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001973.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ureteroscopy (URS) and retrograde intrarenal surgery (RIRS) are usually performed under fluoroscopic guidance for the treatment of urolithiasis, with high stone-free rates (SFR) and infrequent complications. Fluoroless techniques are being developed due to concerns regarding radiation exposure during fluoroscopy and its risks. The purpose of this systematic review is to assess the efficacy and safety of fluoroscopy-free URS and RIRS. METHODS: We performed a systematic review based on the PRISMA statement and searched Pubmed and Scopus databases for eligible articles until 31 March, 2020. Studies providing data on SFR, complications or retreatment rate for fluoroscopy-free URS or RIRS were included. We assessed the quality of evidence and risk of bias using the Critical Appraisal Skills Programme or the Institute of Health Economics Appraisal Checklist, depending on the study type. RESULTS: 17 publications were included with a total of 2957 patients. The process of study selection is explained in Figure 1. None of the comparative studies found significative differences in results between fluoroscopy-free or conventional fluoroscopic guided procedures in terms of SFR, complications, or retreatment rate. Most case series reported SFR >85% and low complication rates. Detailed results are described in Table 1. Most studies had moderate quality and 3 were high-quality studies. CONCLUSIONS: The analysis of the collected data in this systematic review suggests URS and RIRS remain effective without fluoroscopy, having no negative impact on the management of kidney stones disease while preserving the health of patients and workers. However, large prospective studies are needed for higher quality evidence. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e91-e91 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Catarina Laranjo Tinoco More articles by this author Inês Marques More articles by this author Jorge Diogo Ribeiro More articles by this author Andreia Cardoso More articles by this author Ricardo Matos Rodrigues More articles by this author Sara Anacleto More articles by this author Pedro Passos More articles by this author Estevão Lima More articles by this author Mário Cerqueira Alves More articles by this author Paulo Mota More articles by this author Expand All Advertisement Loading ...