Authors: Dor Golomb, Asaf Shvero, Hamad Mahajna, Oleg Levi, Hanan Goldberg, Shlomi Tapiero, Yariv Stabholz, Paz Lotan, Abd-Elhalim Darawsha, Yaron Ehrlich, Nir Kleinmann, Vadim Khasminsky, Dorit Zilberman, Harry Winkler, David Lifshitz

Publication date: 2022/5/13

Journal: Journal of Clinical Urology

Pages: 20514158221088452

Publisher: SAGE Publications

:Description

• Purpose
  
  To compare long-term results following ureteroscopic stone fragmentation and removal versus stone dusting.
•  Methods
  
  We conducted a retrospective analysis of patients who underwent ureteroscopy for renal calculi at two high-volume tertiary centres between 2012 and 2013, therefore allowing long-term follow-up. The surgeons differed in their technique, some performing dusting for the most part and the others fragmentation. Inclusion criteria were stone free at the first follow-up and the sole use of laser lithotripsy is either by dusting or by fragmentation. Operative and post-operative data as well as re-treatment rates were compared between the groups. Stone-free rates and long-term stone recurrence rates were analysed by a single radiologist blinded to the treatment technique.
• Results
  Between 2012 and 2013, 669 ureteroscopies were performed at both centres. The study group included 100 patients …