Outcomes with ureteral access sheath in retrograde intrarenal surgery: a retrospective comparative analysis

Basit Öğe Kaydı
dc.authoridSARI, SERCAN/0000-0002-0994-3799
dc.authoridKarakoyunlu, Nihat/0000-0002-6680-9860
dc.authoridSELMI, VOLKAN/0000-0003-2605-9935
dc.contributor.authorSari, Sercan
dc.contributor.authorCakici, Mehmet Caglar
dc.contributor.authorAykac, Aykut
dc.contributor.authorBaran, Ozer
dc.contributor.authorSelmi, Volkan
dc.contributor.authorKarakoyunlu, Ahmet Nihat
dc.date.accessioned2024-09-29T16:09:39Z
dc.date.available2024-09-29T16:09:39Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBACKGROUND: Retrograde intrarenal surgery is used for treatment of urinary system stones. The ureteral access sheath (UAS) is used to decrease intrapelvic pressure, help with access of multiple instruments, and facilitate drainage and removal of the fragmented stones. OBJECTIVES: Assess the effect of the UAS on the outcomes of retrograde intrarenal surgery. DESIGN: A retrospective patient data review. SETTING: Training and research hospital in Turkey. PATIENTS AND METHODS: We reviewed the data of patients who had undergone retrograde intrarenal surgery between 2012-2019. Patients who had kidney anomalies, were <18 years old, and who had ureteral and urethral strictures were excluded from the study. The demographic characteristics, stone type, complications, intraoperative and postoperative data of the patients were reviewed. A successful outcome was defined as being stone free or having clinically insignificant residual fragments (<3 mm). The use of the UAS was compared with other procedures in terms of efficiency and safety. Factors determining UAS usage were assessed by multivariate analysis. MAIN OUTCOME MEASURES: Stone free rate and complication rate in patients who underwent retrograde intrarenal surgery. SAMPLE SIZE: 1808 patients met inclusion criteria. RESULTS: The UAS was used in 1489 procedures, while other methods were used in 319 procedures. Operation time was 46.9 (17.3) minutes and 42.9 (19.0) minutes with other methods. Postoperative double J stent usage rates were 88.2% and 63% in the UAS and other methods, respectively. The rate of successful outcome was 88.2% and 81.2% in the UAS and other methods, respectively (P<.001). The rate of complications was similar in both groups (P=.543). In a multivariate analysis, UAS usage was directly proportional with stone size and inversely proportional with preoperative JJ stent usage CONCLUSION: The UAS can be effectively and successfully used in retrograde intrarenal surgery for treatment of urinary system stones. UAS usage should be considered for the patients who have large stones (2 cm) and do not have a preoperative double J stent. LIMITATIONS: Retrospective design.en_US
dc.identifier.doi10.5144/0256-4947.2020.382
dc.identifier.endpage388en_US
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue5en_US
dc.identifier.pmid33007166en_US
dc.identifier.scopus2-s2.0-85092316196en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage382en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2020.382
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7699
dc.identifier.volume40en_US
dc.identifier.wosWOS:000577127900003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherK Faisal Spec Hosp Res Centreen_US
dc.relation.ispartofAnnals of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectStone-Free Rateen_US
dc.subjectFlexible Ureterorenoscopyen_US
dc.subjectUreteroscopyen_US
dc.subjectLithotripsyen_US
dc.subjectInsertionen_US
dc.subjectRatesen_US
dc.titleOutcomes with ureteral access sheath in retrograde intrarenal surgery: a retrospective comparative analysisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu