Abstract:

Purpose: In bilateral producer stone treatment, we aimed at exploring the effectiveness and reliability of treatment with ureteroscopy (URS) in the same session. Tools and Methods: Unilateral-URS applied (Group 1) with one-sided producer stone diagnosis and 841 patients applied bilateral-URS in the same session with bilateral producer stone diagnosis (Group 2) with 41 patients; demographic data, urine system stone disease resume, data of existing producer stone and operational results were compared. Results: In Group 1 582 (69.2%) were male, 259 (30.8%) female, in Group 2 27 (65.9%) male and 14 (34.1%) female. The average stone area for Group 1 was 70.9±52.6 mm2, while in Group 2 the cumulative area was 271.1±180.2 mm2 and was significantly larger (p0.001). In terms of operating time, the group 2 was significantly longer (group 1 = 36.0 ± 19.3 min. and group 2 = 48.9±23.7 dk.The number is 0.001. In Group 1, general anesthesia was administered to 50 (5.9%) patients, while in Group 2, 7 (17.1%) patients were preferred to be significantly more (p=0.013). On the postoperative 1st day analgesics, 127 patients in group 1 (15.1%) needed, 12 patients in group 2 (29.3%) needed and the difference was meaningful (p=0.025). The sleeping time was 1.4±1.3 days in group 1, while 2.1±2.6 days in group 2 and there was no statistical difference (p=0.082). There is no difference between the groups (Group 1 = 90.6 and Group 2 = 85.4; p = 0.274). 816 (97.0%) patients in Group 1 and 40 (97.6) patients in Group 2 were uncomplicated and there was no difference in groups (p=0.970). In the same session, we believe that bilateral URS and bilateral producer stone treatment is an effective and reliable method.

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