Effectiveness and Safety of Ureteroscopic Lithotripsy in Young, Old-Old, Oldest-Old Patients.

OBJECTIVES To investigate the efficacy and safety of ureteroscopic lithotripsy in young, old-old, and oldest-old patients. METHODS We enrolled 157 patients who underwent ureteroscopic lithotripsy. We divided the patients into young (< 65 years), old-old (65-84 years), and oldest-old (≥ 85 years) groups and compared the safety of surgery between young vs old-old and young vs oldest-old, separately. RESULTS In the < 65 group, 65-85 group, and ≥ 85 group, respectively, the mean stone diameter was 8.9 ± 4.9 mm, 10.8 ± 7.7 mm, and 11.4 ± 6.3 mm; mean operative time was 76.6 ± 33.1 min, 86.7 ± 44.7 min, and 84.0 ± 44.5 min; the stone-free rate was 95.9%, 94.4%, and 96.3%; and the complication rate was 8.2%, 9.8%, and 3.7%. CONCLUSIONS In this study, we showed the feasibility and safety of ureteroscopic lithotripsy for elderly people. In particular, although oldest-old (≥ 85 years) people had multiple comorbidities with low performance status, ureteroscopic lithotripsy could be performed with acceptable complication rates.