@article{article_415835, title={Stent placement after flexible ureterorenoscopy for renal stones can improve stone-free rate on final follow-up: A retrospective single center study}, journal={Archives of Clinical and Experimental Medicine}, volume={3}, pages={67–70}, year={2018}, DOI={10.25000/acem.415835}, author={Kaygısız, Onur and Özmerdiven, Gökhun and Günseren, Kadir Ömür and Kılıçarslan, Hakan}, keywords={stentler,böbrek taşı,üreterorenoskopi}, abstract={<p class="MsoNormal" style="line-height:200%;margin-bottom:0pt;"> <span lang="en-us" style="line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Aim: </span> <span lang="en-us" style="line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Although the advantage of ureteral double j
(D/J) stenting has been shown in reducing post- operative pain after
ureteroscopic surgery, its contribution to stone clearance for additional
treatment has not been fully assessed. In this study we aimed to evaluate the
effect of stenting on stone free rates at the end of the additional treatment. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:200%;margin-bottom:0pt;"> <span lang="en-us" style="line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Methods: </span> <span lang="en-us" style="line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">We reviewed the medical records of all
patients who underwent flexible ureterorenoscopy (FURS) for kidney stones
between October 2009 and January 2015. Patients with malignant ureteral
stricture, severe skeletal malformation, renal unit malformation, non-opaque
renal stone or lost to follow-up were excluded. 47 of 289 patients (stenting 24
patients, non-stenting 23 patients) assessed. The perioperative and
postoperative parameters and stone-free rates were compared in patients whether
they had intraoperative D/J stent (group 1) or not (group 2). </span> </p> <p> </p> <pre style="background:rgb(255,255,255);line-height:200%;"> <span lang="en-us" style="color:rgb(0,0,0);line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Results: </span> <span lang="en-us" style="color:rgb(0,0,0);line-height:200%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">No differences were found between groups according to age, gender, body mass index, operation history, preoperative stenting history, shockwave lithotripsy history, ureteral stricture, stone size, access sheath rate, retreatment, or additional treatment number and stone location. Operation time was significantly higher in group 1. Those who refused additional treatment were insignificantly lower in group 1. Although the stone-free rates were similar for the two groups at the end of the first month, the stone-free rates after the additional treatments were significantly higher in group 1. </span> </pre> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;margin-bottom:12pt;"> <span lang="en-us" style="line-height:107%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Conclusion: </span> <span lang="en-us" style="line-height:107%;font-family:’Times New Roman’, serif;font-size:12pt;" xml:lang="en-us">Stenting during FURS, improved the stone-free
rate on final follow-up, if residual stones remain. </span> <br /> </p> <p> </p>}, number={2}, publisher={Mustafa HASBAHÇECİ}