Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

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Article Details

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Authors:

N.A.

Publisher:

Kafkas University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001289351

pISSN:

2146-2631

Keywords:

Abstract:

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

 Aim: Studies indicate that a ureteric access sheath UAS is unnecessary for retrograde intrarenal surgery 5 RIRS if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period 3rd month. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age 50.8513.20 vs. 52.8414.27; p0, 476 was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution median IQR: 1 0.52.5 vs. 1 03; p0.986. Serum creatinine levels 0.920.27 vs. 0.970.34; p0, 560, fever or sepsis 0.0 vs. 1.0; p0, 686, and hospital stay 2.150.65 vs. 2.310.74; p0, 691 were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant 72.9 vs. 73.3; p0, 552. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase 3 months are not significantly impacted by UAS use.

Article Details

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Authors:

N.A.

Publisher:

Kafkas University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001289351

pISSN:

2146-2631

access sheath

renal stones

retrograde intrarenal surgery

Issues

Article Details

Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Authors: N.A.

Publisher: Kafkas University

Main Topics: Klinik Tıp Bilimleri

Journal: Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Document Type: Article

Publication Date: 4/2023

Document Language: English

Document ID (Org No.): 2001289351

pISSN: 2146-2631

access sheath

renal stones

retrograde intrarenal surgery

Issues

Authors:

N.A.

Publisher:

Kafkas University

Main Topics:

Klinik Tıp Bilimleri

Journal:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 1, pp.82-86

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001289351

pISSN:

2146-2631