Risk of bleeding after retrograde intrarenal surgery vs miniaturised percutaneous nephrolithotomy for 10–20 mm renal stones: a not so different safety profile

When managing renal stones between 10 and 20 mm taking into account both size and hardness with the application of the SMASH score, RIRS and mini-PCNL show comparable efficacy. A higher bleeding risk has been expected with percutaneous approaches; however, in our cohort the incidence of clinically significant bleeding was low and comparable between the two groups when adopting mini-PCNL.

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Publication Details

Journal
British Journal of Urology
Published
2024-11-19
DOI
https://doi.org/10.1111/bju.16585
Citations
10
Primary Topic
Kidney Stones and Urolithiasis Treatments
Type
article
Field-Weighted Citation Impact
4.19
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article

Risk of bleeding after retrograde intrarenal surgery vs miniaturised percutaneous nephrolithotomy for 10–20 mm renal stones: a not so different safety profile

А. В. Говоров, Bhaskar Kumar Somani, EVANGELOS N. LIATSIKOS, Javier Otero et al.
10 citations
British Journal of Urology
Kidney Stones and Urolithiasis Treatments
4.19
article

Risk of bleeding after retrograde intrarenal surgery vs miniaturised percutaneous nephrolithotomy for 10–20 mm renal stones: a not so different safety profile

А. В. Говоров, Bhaskar Kumar Somani, EVANGELOS N. LIATSIKOS, Javier Otero, Salvatore Micali, Matteo Maltagliati, Bernardo Rocco, Thomas Knoll, Antonio Luigi Pastore, Tommaso Calcagnile, Umberto Besana, Davide Perri, Andrea Pacchetti, Giorgio Bozzini
article en
10 citations

Abstract

When managing renal stones between 10 and 20 mm taking into account both size and hardness with the application of the SMASH score, RIRS and mini-PCNL show comparable efficacy. A higher bleeding risk has been expected with percutaneous approaches; however, in our cohort the incidence of clinically significant bleeding was low and comparable between the two groups when adopting mini-PCNL.

British Journal of UrologyVol. 135(3)
University of Modena and Reggio Emilia (IT), Moscow State University of Medicine and Dentistry (RU), General University Hospital of Patras (GR), University Hospital Southampton NHS Foundation Trust (GB), Hospital Universitario 12 De Octubre (ES), Azienda Socio Sanitaria Territoriale Lariana (IT), Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Sapienza University of Rome (IT)
Good health and well-being
Openalex Percentile: Top 5%
Kidney Stones and Urolithiasis Treatments
4.19
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