Indian Journal of Urology
SYMPOSIUM
Year
: 2008  |  Volume : 24  |  Issue : 4  |  Page : 551--554

Lower pole calculi larger than one centimeter: Retrograde intrarenal surgery


Andreas J Gross, Thorsten Bach 
 Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany

Correspondence Address:
Andreas J Gross
Asklepios Hospital Barmbek, Department of Urology, Ruebenkamp 220, 22291 Hamburg
Germany

Controversy remains on how to treat lower pole calculi between 1 and 2 cm of size. Treatment options like shock wave lithotripsy (SWL) or percutaneous stone treatment (PCNL) are associated with poor stone-free rates or high morbidity. Due to the ongoing development in endourologic technology, especially in flexible renoscopy, laser technique and grasping devices (tipless Nitinol baskets) retrograde intrarenal surgery (RIRS) has become an option in treating these patients. Based on personal experience and an overview of the published literature we discuss RIRS as a valuable alternative to PCNL in treating patients with larger calculi of the lower pole. The technical developments in laser technology as well as significant improvement in flexible renoscopes have made RIRS for larger lower pole stones possible. The low complication rate gives RIRS for lower pole stones superiority over the invasive percutaneous approach, which is associated with significant morbidity, even in experienced hands.


How to cite this article:
Gross AJ, Bach T. Lower pole calculi larger than one centimeter: Retrograde intrarenal surgery.Indian J Urol 2008;24:551-554


How to cite this URL:
Gross AJ, Bach T. Lower pole calculi larger than one centimeter: Retrograde intrarenal surgery. Indian J Urol [serial online] 2008 [cited 2021 Dec 8 ];24:551-554
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2008;volume=24;issue=4;spage=551;epage=554;aulast=Gross;type=0