Simultaneous Measurement of Pressure in the Calyces During RIRS in a Human Cadaver Model

dc.authoridAYKAC, AYKUT/0000-0001-7078-0135
dc.authoridONER, ZULAL/0000-0003-0459-1015
dc.authoridOzok, Hakki Ugur/0000-0003-1747-0490
dc.authoridKaya, Coskun/0000-0002-7445-2304
dc.authoridBaran, Ozer/0000-0001-9799-8134
dc.contributor.authorAykac, Aykut
dc.contributor.authorBaran, Ozer
dc.contributor.authorOner, Zulal
dc.contributor.authorKaya, Coskun
dc.contributor.authorOzok, Ugur
dc.contributor.authorSunay, Melih
dc.date.accessioned2024-09-29T16:08:31Z
dc.date.available2024-09-29T16:08:31Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to evaluate calyceal pressure caused by irrigation of the upper, mid and lower calyces in a cadaver kidney model and to examine the interactions. Materials and Methods: The kidney was dissected together with the ureter from a human cadaver from a 75-year-old without a history of renal disease. Catheters were placed in the bases of the calyces to perform pressure measurements. After recording baseline pressures while the flexible ureteroscope working channel was empty during irrigation, pressures were then measured by administering fluid with a hand pump, 5 cc and 50 cc syringe. Then, 272 mu and 350 mu laser probes were placed in the flexible ureteroscope and, after recording the baseline calyceal pressures, the measurements were repeated 3 times during hand pump irrigation. Results: Lowest calyceal pressures were measured when a 300 mu laser probe in the working channel of the flexible ureteroscope was placed in the upper calyx during irrigation at 60 cm H2O. Independent of the location of the flexible ureteroscope, the pressure in all the calyces was observed to be >= 50 mmHg during all types of fluid irrigation. All the calyceal pressures were observed to be affected by each other. The pressure within the calyx where the flexible ureteroscope was located was statistically significantly higher than in the other calyces (p<0.001). Conclusion: Application of additional fluid irrigation during flexible ureteroscopy causes a serious increase in intrarenal pressure. If fluid irrigation is to be applied, it should be done using a very small amount of fluid and for a very short duration.en_US
dc.identifier.doi10.4274/jus.galenos.2019.2412
dc.identifier.endpage217en_US
dc.identifier.issn2148-9580
dc.identifier.issue3en_US
dc.identifier.startpage213en_US
dc.identifier.trdizinid346090en_US
dc.identifier.urihttps://doi.org/10.4274/jus.galenos.2019.2412
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/346090
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7601
dc.identifier.volume6en_US
dc.identifier.wosWOS:000482174400007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntrarenal pressureen_US
dc.subjectRetrograde intrarenal surgeryen_US
dc.subjectRIRSen_US
dc.subjectCalyx pressureen_US
dc.titleSimultaneous Measurement of Pressure in the Calyces During RIRS in a Human Cadaver Modelen_US
dc.typeArticleen_US

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