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

Ümit Yıldırım; Mehmet Uslu; Mehmet Ezer; Bumin Ors

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

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 (50.85±13.20 vs. 52.84±14.27; p=0, 476) was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution [median (IQR): 1 (0.5–2.5) vs. 1 (0–3); p=0.986]. Serum creatinine levels (0.92±0.27 vs. 0.97±0.34; p=0, 560), fever or sepsis (0.0% vs. 1.0%; p=0, 686), and hospital stay (2.15±0.65 vs. 2.31±0.74; p=0, 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%; p=0, 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.

Keywords

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Ümit Yıldırım This is me
Türkiye

Mehmet Uslu This is me
Türkiye

Mehmet Ezer This is me
Türkiye

Bumin Ors This is me
Türkiye

Publication Date

April 26, 2023

Submission Date

November 16, 2022

Acceptance Date

January 19, 2023

Published in Issue

Year 2023 Volume: 13 Number: 1

IZ

https://izlik.org/JA75CB93RB

Cite

RIS / Bibtex

APA

Yıldırım, Ü., Uslu, M., Ezer, M., & Ors, B. (2023). Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period? Kafkas Journal of Medical Sciences, 13(1), 82-86. https://izlik.org/JA75CB93RB

AMA

1.Yıldırım Ü, Uslu M, Ezer M, Ors B. Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period? Kafkas Journal of Medical Sciences. 2023;13(1):82-86. https://izlik.org/JA75CB93RB

Chicago

Yıldırım, Ümit, Mehmet Uslu, Mehmet Ezer, and Bumin Ors. 2023. “Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?”. Kafkas Journal of Medical Sciences 13 (1): 82-86. https://izlik.org/JA75CB93RB.

EndNote

Yıldırım Ü, Uslu M, Ezer M, Ors B (April 1, 2023) Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period? Kafkas Journal of Medical Sciences 13 1 82–86.

IEEE

[1]Ü. Yıldırım, M. Uslu, M. Ezer, and B. Ors, “Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?”, Kafkas Journal of Medical Sciences, vol. 13, no. 1, pp. 82–86, Apr. 2023, [Online]. Available: https://izlik.org/JA75CB93RB

ISNAD

Yıldırım, Ümit - Uslu, Mehmet - Ezer, Mehmet - Ors, Bumin. “Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?”. Kafkas Journal of Medical Sciences 13/1 (April 1, 2023): 82-86. https://izlik.org/JA75CB93RB.

JAMA

1.Yıldırım Ü, Uslu M, Ezer M, Ors B. Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period? Kafkas Journal of Medical Sciences. 2023;13:82–86.

MLA

Yıldırım, Ümit, et al. “Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?”. Kafkas Journal of Medical Sciences, vol. 13, no. 1, Apr. 2023, pp. 82-86, https://izlik.org/JA75CB93RB.

Vancouver

1.Ümit Yıldırım, Mehmet Uslu, Mehmet Ezer, Bumin Ors. Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period? Kafkas Journal of Medical Sciences [Internet]. 2023 Apr. 1;13(1):82-6. Available from: https://izlik.org/JA75CB93RB