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ISSN No:-2456-2165
Abstract I. INTRODUCTION
Efficacy
Gender Total P-value
Yes No
40 5 45
Male
88.8% 11.2% 100.0%
26 4 30
Female 0.21
86.6% 13.4% 100.0%
66 9 75
Total
88.0% 12.0% 100.0%
Table 1:- Comparison of Efficacy with Respect to Gender
Efficacy
Age Groups Total P-value
Yes No
20 2 22
18-30
90.90% 9.10% 100.0%
28 5 24
31-45
91.66% 8.34% 100.0%
0.08
35 2 29
46-60
82.75% 17.25% 100.0%
66 9 75
Total
88.0% 12.0% 100.0%
Table 2:- Comparison of Efficacy with Respect to Age Groups
Efficacy
Stone Size Groups Total P-value
Yes No
46 6 52
≤1.25 cm
88.46% 11.54% 100.0%
20 3 23
≥1.25 cm 0.021
86.95% 13.05% 100.0%
66 9 75
Total
88.0% 12.0% 100.0%
Table 3:- Comparison of Efficacy with Respect to Stone Size
Kursad Zengin et al concluded in their study that In the study, outcomes of treatment in patients with
RIRS bear a suitable rate of success that has low important co-morbidities who underwent RIRS were
complication rate ie fever than PCNL and looks like an monitored and no main complication was observed. Laser
alternate to PCNL to remove large stones.14 Present lithotripsy and RIRS may be done effectively and safely
recommendations are that ESWL may be the choice of first with high rate of success and low rate of complications in
therapy for calculi of size < 20 mm while PCNL for bigger renal stone patients. In this study 42 patients were studies
stones than this. that include 14 female and 28 male patients19
Presently flexible URS is not mentioned in many The mean size of stone was 24.09±6.37 mm and the
guidelines. It may be an alternative to PCNL or ESWL. success rate was 92.8% after procedure and there was no
Hardly, small amount of work is mentioned in literature at main complication to observe.20 Huang et al. did a study in
the use of flexible URS for renal calculi. New generation 25 patients. RIRS overall success rate after 1st, 2nd and 3rd
URS permits access to all calyces, combined with laser method was 70%, 92% and 92% respectively.21
lithotripsy, ureteral access sheath and tools for retrieval to
renal calculi. V. CONCLUSION
The rate of being stone free reported for < 2.5 cm The RIRS is safe and effective for renal stones, with
calculi is 50 to 80 %, while main stones may also be treated high success rate, low morbidity and acceptable duration of
successfully.15 Further the link between endoscopic operative time.
management and long operative time is stressed in
literature. Many reports have described the variable