Is the Efficacy and Safety of Retrograde Flexible Ureteroscopy in the Elderly Population Different from Non-elderly Adults?

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dc.authoridSELMI, VOLKAN/0000-0003-2605-9935
dc.authoridKarakoyunlu, Nihat/0000-0002-6680-9860
dc.contributor.authorCakici, Mehmet Caglar
dc.contributor.authorSari, Sercan
dc.contributor.authorSelmi, Volkan
dc.contributor.authorSandikci, Fatih
dc.contributor.authorKarakoyunlu, Nihat
dc.contributor.authorOzok, Ugur
dc.date.accessioned2024-09-29T16:10:16Z
dc.date.available2024-09-29T16:10:16Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground and objectives The population of elderly adults is increasing globally, and due to metabolic changes related to advanced age, many elderly adults experience kidney stones. Flexible ureteroscopy (f-URS) is a minimally invasive procedure to treat kidney stones, but it is not free of complications. The goals of this study were to analyze the efficacy and safety of f-URS in the management of kidney stones in patients aged >= 60 years and compare the outcomes of this surgery with the outcomes of the same surgery in a younger population. Materials and methods We retrospectively reviewed patient data from 1750 patients who met our inclusion criteria and received f-URS at the urology clinic of our hospital from 2012 to 2017. Patients were assigned into two groups: those aged >= 60 years (Group 1, n=291) and those aged 19-59 years (Group 2, n=1459). The perioperative results were evaluated comparatively. We performed multivariable analyses for factors predicting complications. Results When we compared the groups on demographic attributes, we noted statistically significant differences in gender, body mass index (BMI), and American Society of Anesthesiologists scores. Stone size and operation time were higher in the >= 60-year age group (Group 1). Other stone characteristics and operative features were similar. Stone-free rates (SFR) after the first procedure were 88.0% in Group 1 and 89.2% in Group 2. SFR and success rates at three months were similar for both groups. The complication rates were similar, and multivariable regression analysis revealed the most important factor affecting the complications was the presence of residual stones in both groups. The second most important factor affecting the complication was the operation time in Group 1 and the number of stones in Group 2. Conclusion In our study, there were no significant differences in terms of results and complications among elderly and young patients after f-URS except for the duration of the operation. The prolongation of operation time results in worse outcomes in terms of perioperative complications in patients aged >= 60 years. f-URS is a relatively safe and efficient procedure, with a small risk of minor complications even in the elderly population, with increased comorbidity.en_US
dc.identifier.doi10.7759/cureus.4852
dc.identifier.issn2168-8184
dc.identifier.issue6en_US
dc.identifier.pmid31410335en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.4852
dc.identifier.urihttps://hdl.handle.net/20.500.14619/8086
dc.identifier.volume11en_US
dc.identifier.wosWOS:000470786700009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectureteroscopyen_US
dc.subjectelderlyen_US
dc.subjectefficacyen_US
dc.subjectflexibleen_US
dc.subjectkidney stoneen_US
dc.subjectureterorenoscopyen_US
dc.subjectrirsen_US
dc.titleIs the Efficacy and Safety of Retrograde Flexible Ureteroscopy in the Elderly Population Different from Non-elderly Adults?en_US
dc.typeArticleen_US

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