Mp04-10 Evaluating Outcomes of Stone Free Rates in Retrograde Intrarenal Surgery (Rirs) With T Tilt Position: A Prospective Randomized Study

You have accessJournal of UrologyStone Disease: Surgical Therapy (including ESWL) I (MP04)1 May 2024MP04-10 EVALUATING OUTCOMES OF STONE FREE RATES IN RETROGRADE INTRARENAL SURGERY (RIRS) WITH T TILT POSITION: A PROSPECTIVE RANDOMIZED STUDY N. Manu Kaushik, Ramesh D, Prasad Mylarappa, Tarun Javali, Manasa T, and Sandeep Puvvada N. Manu KaushikN. Manu Kaushik , Ramesh DRamesh D , Prasad MylarappaPrasad Mylarappa , Tarun JavaliTarun Javali , Manasa TManasa T , and Sandeep PuvvadaSandeep Puvvada View All Author Informationhttps://doi.org/10.1097/01.JU.0001008708.00982.a9.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The lower pole of the kidney presents a unique challenge as it is the most difficult location for retrograde intrarenal surgery. We investigated a modified patient position to increase stone-free rate by analysing presence of residual fragments. We randomized patients into standard position and the T-Tilt position (15° Trendelenburg and 15° airplane away from the surgical side kidney) METHODS: In this prospective, randomized study, patients were randomized into the standard or T-Tilt position. Demographics, comorbidities, and operative parameters were collected. Stone free rate was determined with CT KUB at 1-month follow-up and the data analysed applying the relevant statistical tests. RESULTS: A total of 100 patients were analysed: 50 standard patients and 50 T-Tilt patients. The groups had similar patient and stone factors. Stone-free rates for isolated lower pole stones were significantly different: standard position was 66 % vs. T-Tilt position was 86 % (p<0.001). Clavien-Dindo scores did not differ significantly (p=0.3). CONCLUSIONS: The T-Tilt patient position was associated with higher stone-free rates. It is an atraumatic, cost-effective technique. These results suggest that modifying patient positioning during retrograde intrarenal surgery improves stone-free rates. Download PPT Source of Funding: Nil © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e38 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information N. Manu Kaushik More articles by this author Ramesh D More articles by this author Prasad Mylarappa More articles by this author Tarun Javali More articles by this author Manasa T More articles by this author Sandeep Puvvada More articles by this author Expand All Advertisement PDF downloadLoading ...