Comment to “Comparison between retrograde intrarenal surgery and extracorporeal shock wave lithotripsy in the treatment of lower pole kidney stones up to 15mm. Prospective, randomized study”

Palmero, J.L.

doi:10.1016/j.acuroe.2015.03.008

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Prospective, randomized study”" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "243" "paginaFinal" => "244" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.L. Palmero" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J.L." "apellidos" => "Palmero" "email" => array:1 [ 0 => "joseluispalmer@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Litotricia y Endourología, Hospital Universitario La Ribera, Alzira, Valencia, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario editorial a “Comparación entre cirugía retrógrada intrarrenal y litotricia extracorpórea para el tratamiento de la litiasis del polo inferior renal de hasta 15mm. Estudio prospectivo aleatorizado”" ] ] "textoCompleto" => "In recent years, the use of flexible ureteroscope for the treatment of renal lithiasis (retrograde intrarenal surgery [RIRS]) has emerged as an alternative to consolidated techniques such as extracorporeal lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL). Despite the weakness of the available studies, implementation and dissemination of this technique in our environment are a reality.<a class="elsevierStyleCrossRef" href="#bib0035">1</a>The growing interest in RIRS might seem a quirk of young urologists for this attractive surgery; however, the good results and low complication rate should make us reconsider this statement.<a class="elsevierStyleCrossRef" href="#bib0040">2</a>Data relating to a recent publication of the Cochrane<a class="elsevierStyleCrossRef" href="#bib0045">3</a> reveal the need for prospective, randomized studies to understand the role of ESWL, RIRS, and PCNL in the treatment of kidney stones. Lacking these studies, a recent meta-analysis provides better results at the expense of increased morbidity at PCNL versus RIRS<a class="elsevierStyleCrossRef" href="#bib0050">4</a>; however, and assuming the retreatment, RIRS results are comparable to PCNL.<a class="elsevierStyleCrossRef" href="#bib0055">5</a>In line with prospective designs, the authors of this article obtained matching results in terms of higher stone-free rate of RIRS versus ESWL for stones over 1cm, similar to published works.<a class="elsevierStyleCrossRef" href="#bib0060">6</a> A greater casuistry might grant greater solidity to the conclusions of this work.RIRS walks towards a promising future. Greater experience and technological development will allow for better results but we cannot forget that the evidence of these data involves the design of prospective, randomized studies." 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Actas Urol Esp. 2015;39:243–244." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones: results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Sanguedolce" 1 => "E. Liatsikos" 2 => "P. Verze" 3 => "S. Hruby" 4 => "A. Breda" 5 => "J.D. 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Laopaiboon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/14651858.CD007044.pub3" "Revista" => array:5 [ "tituloSerie" => "Cochrane Database Syst Rev" "fecha" => "2014" "volumen" => "11" "paginaInicial" => "CD007044" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25418417" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0050" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous nephrolithotomy versus retrograde intrarenal surgery: a systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. De" 1 => "R. Autorino" 2 => "F.J. Kim" 3 => "H. Zargar" 4 => "H. Laydner" 5 => "R. Balsamo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2014.07.003" "Revista" => array:6 [ "tituloSerie" => "Eur Urol" "fecha" => "2015" "volumen" => "67" "paginaInicial" => "125" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25064687" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is retrograde intrarenal surgery for the treatment of renal stones with diameters exceeding 2cm still a hazard?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Giusti" 1 => "S. Proietti" 2 => "L.G. Luciani" 3 => "R. Peschechera" 4 => "A. Giannantoni" 5 => "G. Taverna" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can J Urol" "fecha" => "2014" "volumen" => "21" "paginaInicial" => "7207" "paginaFinal" => "7212" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24775573" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0060" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A prospective randomized comparison between shock wave lithotripsy and flexible ureterorenoscopy for lower caliceal stones ≤2cm: a single-center experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Kumar" 1 => "P. Vasudeva" 2 => "B. Nanda" 3 => "N. Kumar" 4 => "M.K. Das" 5 => "S.K. Jha" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/end.2006.20.560" "Revista" => array:3 [ "tituloSerie" => "J Endourol" "fecha" => "2014" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16903815" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000003900000004/v2_201504271107/S2173578615000451/v2_201504271107/en/main.assets" "Apartado" => array:4 [ "identificador" => "6274" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000003900000004/v2_201504271107/S2173578615000451/v2_201504271107/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578615000451?idApp=UINPBA00004N"]

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Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided. It has high visibility and accessibility and is found in the most important data bases, Medline/Pubmed, Emabase, JCR, Ïndice Médico Español, Índice bibliográfico Español en Ciencias de la Salud (IBECS), Cuiden, Dialnet, Hinari, Scopus, Google Scholar.

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Vol. 39. Issue 4.

Pages 243-244 (May 2015)

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