TY  - JOUR
T1  - Stent placement after flexible ureterorenoscopy for renal stones can improve stone-free rate on final follow-up: A retrospective single center study
TT  - Böbrek taşlarına uygulanan fleksibl üreterorenoskopi sonrası stent yerleştirilmesi son takipte taşsızlık oranını arttırabilir: Retrospektif tek merkezli çalışma
AU  - Kaygısız, Onur
AU  - Özmerdiven, Gökhun
AU  - Günseren, Kadir Ömür
AU  - Kılıçarslan, Hakan
PY  - 2018
DA  - July
DO  - 10.25000/acem.415835
JF  - Archives of Clinical and Experimental Medicine
JO  - Arch Clin Exp Med
PB  - Mustafa HASBAHÇECİ
WT  - DergiPark
SN  - 2564-6567
SP  - 67
EP  - 70
VL  - 3
IS  - 2
LA  - en
AB  - Aim: Although the advantage of ureteral double j(D/J) stenting has been shown in reducing post- operative pain afterureteroscopic surgery, its contribution to stone clearance for additionaltreatment has not been fully assessed. In this study we aimed to evaluate theeffect of stenting on stone free rates at the end of the additional treatment. Methods: We reviewed the medical records of allpatients who underwent flexible ureterorenoscopy (FURS) for kidney stonesbetween October 2009 and January 2015. Patients with malignant ureteralstricture, severe skeletal malformation, renal unit malformation, non-opaquerenal stone or lost to follow-up were excluded. 47 of 289 patients (stenting 24patients, non-stenting 23 patients) assessed. The perioperative andpostoperative parameters and stone-free rates were compared in patients whetherthey had intraoperative D/J stent (group 1) or not (group 2). Results: 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.Conclusion: Stenting during FURS, improved the stone-freerate on final follow-up, if residual stones remain.
KW  - Stents
KW  - Kidney stone
KW  - Ureteroscopy
N2  - Amaç: Her ne kadar üreteroskopikcerrahi sonrası üreteral çift J uçlu (Double J-D/J) stent yerleştirilmesininpostoperatif ağrıyı azaltmaktaki avantajı gösterilmiş olsa da taşlarıntemizlenmesi ve ek işlem için hasta uyumuna etkisi tamolarak değerlendirilmemiştir. Biz bu çalışmada stent takılmasının ek tedavilersonunda taşsızlık oranlarına olan etkisini araştırdık.Yöntem: Kasım 2009 veOcak 2015 tarihleri arasında fleksibl üreterorenoskopi (FURS) uygulananhastaların tıbbi kayıtları gözden geçirildi. Maling üreteral darlık, ileriderecede iskelet malformasyonu, böbrek malformasyonu olan hastalar ve takiptençıkan hastalar çalışmadan çıkarıldı. 289 hastanın 47’si (24 stent takılan, 23stent takılmayan) değerlendirilmeye alındı. Operasyon sırasında D/J stenttakılan (grup 1) ve takılmayan (grup 2) hastaların perioperatif ve postoperatifparametreleri ve taşsızlık oranları karşılaştırıldı.Bulgular: Gruplararasında yaş, cinsiyet, vücut kitle indeksi, operasyon öyküsü, operasyon öncesistent yerleştirilmesi, şok dalga litotripsi hikayesi, üreteral darlık, taşboyutu, akses kılıfı kullanım oranı, tekrar tedavi, ek tedavi taş sayısı velokalizasyonu açısından fark yoktu. Stent uygulanan grupta anlamlı olarakoperasyon süresi uzun izlendi. Ek tedavileri red etme oranı grup 1’de dahadüşük izlendi. İlk ay sonunda taşsızlık oranları iki grup için benzer olmasınarağmen, ek tedavilerden sonra taşsızlık oranları grup 1’de anlamlı olarakyüksek izlendi.Sonuç: FURS sırasında stent yerleştirilmesi,rezidüel taşların kalması durumunda son takipte taşsızlık oranınıarttırmaktadır.
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UR  - https://doi.org/10.25000/acem.415835
L1  - https://dergipark.org.tr/tr/download/article-file/509648
ER  -