Ureteral Access Sheath Application Without Fluoroscopy in Retrograde Intrarenal Surgery

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dc.contributor.authorAykac, Aykut
dc.contributor.authorBaran, Ozer
dc.contributor.authorSari, Sercan
dc.date.accessioned2024-09-29T16:07:49Z
dc.date.available2024-09-29T16:07:49Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: To compare the results and complications of the two techniques of ureteral access sheath application, with and without using fluoroscopy. Study Design: A comparative study. Place and Duration of Study: Department of Urology, Karabuk University Medical Faculty Training and Research Hospital and Ankara Diskapi Yildirim Beyazid Training and Research Hospital between April 2014 and January 2018. Methodology: Retrospective evaluation was made of patients applied with retrograde intrarenal surgery using ureteral access sheath (UAS). In Group 1, defined method were used for UAS application without using scopy. In Group 2, following semi-rigid ureterorenoscopy, localisation of guidewire was checked with fluoroscopy. UAS was advanced to ureter over guidewire under fluoroscopy imaging. Results: Success rate of UAS placement was similar in both groups (p=0.747). The time of UAS placement was 14.75 secs in Group 1 and 14.99 secs in group 2 (p=0.073). Fluoroscopy was not used at all during UAS placement in Group 1. In Group 2, the mean duration of fluoroscopy use was 9.93 +/- 3.89 secs. Total stone-free rate was 82.09% and 83.28% in Group 1 and 2, respectively. (p=0.653). Conclusion: The method described in this paper provides protection against radiation exposure for both the patient and the operating team; and prevents potential complications by enabling clear evaluation of ureteral orifice.en_US
dc.identifier.doi10.29271/jcpsp.2020.5.503
dc.identifier.endpage507en_US
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue5en_US
dc.identifier.pmid32580847en_US
dc.identifier.scopus2-s2.0-85087099851en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage503en_US
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2020.5.503
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7198
dc.identifier.volume30en_US
dc.identifier.wosWOS:000543463300011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherColl Physicians & Surgeons Pakistanen_US
dc.relation.ispartofJcpsp-Journal of the College of Physicians and Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRenal stone surgeryen_US
dc.subjectRetrograde Intrarenal surgeryen_US
dc.subjectRadiation protectionen_US
dc.subjectFlouroscopyen_US
dc.subjectRadiation freeen_US
dc.titleUreteral Access Sheath Application Without Fluoroscopy in Retrograde Intrarenal Surgeryen_US
dc.typeArticleen_US

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