Robotic prostate surgery
The aim of the study was to determine whether the relative stone robotic prostate surgery in the upper loop of the JJ stent during extracorporeal shock wave lithotripsy SWL influences the efficiency of the procedure.
Patients were divided in three groups according to the relative position of the stone to the upper loop of the JJ stent as appears on plain X-ray: stone-inside-loop, loop-crossing-stone and stone-outside the robotic prostate surgery. The SWL success rate was the primary outcome of the study. Results: For stone-inside-loop cases, SWL efficiency was Other factors for decreased SWL success rate were: higher stone radio-opacity, larger JJ of stent and obese patients.
Study limitation is represented by the relative small study group and by the evaluation of stone density using plain X-ray instead of computer tomography. Conclusions: For pelvic renal stones having the same density characteristics studied by plain X-ray, the SWL efficiency is lower in stone-inside-loop cases comparing with the other positions.
The overall stone free rate for renal pelvic stones could be explained by the second generation lithotripter used for all procedures.