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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2014; 2(11): 698-704
Published online Nov 16, 2014. doi: 10.12998/wjcc.v2.i11.698
Published online Nov 16, 2014. doi: 10.12998/wjcc.v2.i11.698
Simultaneous vs staged treatment of urolithiasis in patients undergoing radical prostatectomy
Boyd R Viers, Matthew K Tollefson, David E Patterson, Matthew T Gettman, Amy E Krambeck, Mayo Clinic Department of Urology, Rochester, MN 55902, United States
Author contributions: Viers BR contributed to the study design, data acquisition and analysis and manuscript drafting; Tollefson MK, Patterson DE and Gettman MT assisted with data acquisition, manuscript review and revisions; Krambeck AE assisted with study design, data interpretation, drafting, review and revisions of manuscript and resided as the senior author for this manuscript.
Correspondence to: Amy E Krambeck, MD, Mayo Clinic Department of Urology, 200 1st SW, Rochester, MN 55902, United States. krambeck.amy@mayo.edu
Telephone: +1-507-2849983 Fax: +1-507-2844951
Received: June 24, 2014
Revised: September 17, 2014
Accepted: October 1, 2014
Published online: November 16, 2014
Processing time: 138 Days and 23.6 Hours
Revised: September 17, 2014
Accepted: October 1, 2014
Published online: November 16, 2014
Processing time: 138 Days and 23.6 Hours
Core Tip
Core tip: Prostate cancer and urolithiasis can present simultaneously. An acute stone event in the immediate perioperative radical prostatectomy period poses unique management issues. Herein, we describe our experience with the simultaneous treatment of urolithiasis at the time of prostatectomy. We concluded that simultaneous ureteroscopy among symptomatic men with distal ureteral calculi appears to be safe and efficacious. Whereas, in asymptomatic men, or those with proximal/multiple calculi, one should consider treatment in a staged fashion secondary to an increased risk of additional procedures and lower stone-free rates.