https://doi.org/10.4081/aiua.2022.2.195

Spinal versus general anesthesia in retrograde intrarenal surgery

Vol. 94 No. 2 (2022)
Submitted: April 21, 2022
Accepted: May 20, 2022
Published: June 29, 2022
Spinal Anesthesia; Retrograde intra-renal surgery; Urolithiasis
Abstract Views: 1082
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Authors

Mehmet Yoldas
yoldas_2297@hotmail.com
Tepecik Training and Research Hospital Urology Clinic, Izmir, Turkey.
Tuba Kuvvet Yoldas
Ege University Faculty of Medicine Anesthesiology and Reanimation Department, Izmir, Turkey.

Aim: The indications for retrograde intrarenal surgery (RIRS) have greatly increased, however, there is still no consensus on the use of spinal anesthesia (SA) during this procedure. The aim of this study was to evaluate the comparability of surgical outcomes of RIRS performed under SA versus general GA for renal stones. Materials and methods: This was a retrospective, observational study in patients scheduled for RIRS in a single teaching hospital in Turkey. Inclusion criteria were age > 18 years and the presence of single or multiple renal stones. We recorded information concerning the site of lithiasis, the number of calculi, total stone burden, and the presence of concomitant ureteral stones or hydronephrosis. Results were evaluated in terms of surgical outcome, intraoperative and postoperative complications. Patients were followed-up until day 90 from discharge. Results: The data of 502 patients, 252 in GA group and 250 in SA group, were evaluated. The stone-free rate was 81% in the GA group and 85% in the SA group (p = 0.12). No cases of conversion from SA to GA were recorded. Complication rates were similar in the 2 groups (19% vs 14.5%, p = 0.15). Conclusions: In our cohort, RIRS performed under SA and GA was equivalent in terms of surgical results and complications.

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How to Cite

Yoldas, M. ., & Yoldas, T. K. . (2022). Spinal versus general anesthesia in retrograde intrarenal surgery. Archivio Italiano Di Urologia E Andrologia, 94(2), 195–198. https://doi.org/10.4081/aiua.2022.2.195

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