Is the Success and Safety of Retrograde Intrarenal Surgery Related to the Opacity Status of Kidney Stones? A Critical Evaluation

N.A.

Makale detayları

Is the Success and Safety of Retrograde Intrarenal Surgery Related to the Opacity Status of Kidney Stones? A Critical Evaluation

Yazarlar:

N.A.

Yayıncı:

Kafkas University

Ana Başlıklar:

Üroloji

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 2, pp.160-165

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001294174

pISSN:

2146-2631

Anahtar kelimeler:

Özet:

 Aim: This present study aimed to investigate the possible effect of the opacity status of kidney stones on the success and complication rates observed during and after retrograde intrarenal surgery RIRS. Material and Method: This study analyzed the data of 642 kidney stone cases who underwent flexible ureteroscopy between February 2014 and April 2022. In all patients, non-contrast computed tomography and kidney-ureter-bladder KUB radiography were performed preoperatively to evaluate the anatomy of the collecting system and the structure of the kidney stone. The patients were divided into two groups as opaque and non-opaque according to the opacity evaluation based on the preoperative KUB image. While 359 patients had radiopaque stones, 283 patients had non-opaque stones. Both groups were compared in terms of certain preoperative data, postoperative outcomes, and complications. Results: Cases with non-opaque stones were ahead of the other group in terms of the American Society of Anaesthesiologists ASA score, diagnosed diabetes mellitus, Charlson Comorbidity Index, and body mass index. In the third postoperative month, there was no statistically significant difference between the two groups in terms of stone-free status 72.1 vs 75.3, p0.212. Postoperative infective complications and hospital stays were comparable across the two groups, despite the non-opaque stone group being substantially older and farther along in terms of comorbidities. Conclusion: This studys results showed that RIRS could be applied with successful outcomes regardless of the opacity status of renal stones.

 Aim: This present study aimed to investigate the possible effect of the opacity status of kidney stones on the success and complication rates observed during and after retrograde intrarenal surgery RIRS. Material and Method: This study analyzed the data of 642 kidney stone cases who underwent flexible ureteroscopy between February 2014 and April 2022. In all patients, non-contrast computed tomography and kidney-ureter-bladder KUB radiography were performed preoperatively to evaluate the anatomy of the collecting system and the structure of the kidney stone. The patients were divided into two groups as opaque and non-opaque according to the opacity evaluation based on the preoperative KUB image. While 359 patients had radiopaque stones, 283 patients had non-opaque stones. Both groups were compared in terms of certain preoperative data, postoperative outcomes, and complications. Results: Cases with non-opaque stones were ahead of the other group in terms of the American Society of Anaesthesiologists ASA score, diagnosed diabetes mellitus, Charlson Comorbidity Index, and body mass index. In the third postoperative month, there was no statistically significant difference between the two groups in terms of stone-free status 72.1 vs 75.3, p0.212. Postoperative infective complications and hospital stays were comparable across the two groups, despite the non-opaque stone group being substantially older and farther along in terms of comorbidities. Conclusion: This studys results showed that RIRS could be applied with successful outcomes regardless of the opacity status of renal stones.

 Aim: This present study aimed to investigate the possible effect of the opacity status of kidney stones on the success and complication rates observed during and after retrograde intrarenal surgery RIRS. Material and Method: This study analyzed the data of 642 kidney stone cases who underwent flexible ureteroscopy between February 2014 and April 2022. In all patients, non-contrast computed tomography and kidney-ureter-bladder KUB radiography were performed preoperatively to evaluate the anatomy of the collecting system and the structure of the kidney stone. The patients were divided into two groups as opaque and non-opaque according to the opacity evaluation based on the preoperative KUB image. While 359 patients had radiopaque stones, 283 patients had non-opaque stones. Both groups were compared in terms of certain preoperative data, postoperative outcomes, and complications. Results: Cases with non-opaque stones were ahead of the other group in terms of the American Society of Anaesthesiologists ASA score, diagnosed diabetes mellitus, Charlson Comorbidity Index, and body mass index. In the third postoperative month, there was no statistically significant difference between the two groups in terms of stone-free status 72.1 vs 75.3, p0.212. Postoperative infective complications and hospital stays were comparable across the two groups, despite the non-opaque stone group being substantially older and farther along in terms of comorbidities. Conclusion: This studys results showed that RIRS could be applied with successful outcomes regardless of the opacity status of renal stones.

 Aim: This present study aimed to investigate the possible effect of the opacity status of kidney stones on the success and complication rates observed during and after retrograde intrarenal surgery RIRS. Material and Method: This study analyzed the data of 642 kidney stone cases who underwent flexible ureteroscopy between February 2014 and April 2022. In all patients, non-contrast computed tomography and kidney-ureter-bladder KUB radiography were performed preoperatively to evaluate the anatomy of the collecting system and the structure of the kidney stone. The patients were divided into two groups as opaque and non-opaque according to the opacity evaluation based on the preoperative KUB image. While 359 patients had radiopaque stones, 283 patients had non-opaque stones. Both groups were compared in terms of certain preoperative data, postoperative outcomes, and complications. Results: Cases with non-opaque stones were ahead of the other group in terms of the American Society of Anaesthesiologists ASA score, diagnosed diabetes mellitus, Charlson Comorbidity Index, and body mass index. In the third postoperative month, there was no statistically significant difference between the two groups in terms of stone-free status 72.1 vs 75.3, p0.212. Postoperative infective complications and hospital stays were comparable across the two groups, despite the non-opaque stone group being substantially older and farther along in terms of comorbidities. Conclusion: This studys results showed that RIRS could be applied with successful outcomes regardless of the opacity status of renal stones.

Makale detayları

Is the Success and Safety of Retrograde Intrarenal Surgery Related to the Opacity Status of Kidney Stones? A Critical Evaluation

Yazarlar: N.A.

Yayıncı: Kafkas University

Ana Başlıklar: Üroloji

Dergi: Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 2, pp.160-165

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001294174

pISSN: 2146-2631

opaque

non-opaque

RIRS

kidney stones

Sayı

Yazarlar:

N.A.

Yayıncı:

Kafkas University

Ana Başlıklar:

Üroloji

Dergi:

Kafkas Tıp Bilimleri Dergisi Vol.13 Issue 2, pp.160-165

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001294174

pISSN:

2146-2631