Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms

Doğan Sabri Tok; Erhan Demirelli; Ercan Öğreden; Huseyin Batur; Mefail Aksu; Uğur Semiz; Ural Oğuz

doi:10.70058/cjm.2017932

Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms

Abstract

Objective: Flexible ureterorenoscopy (fURS) is one of the standard surgical procedures for kidney stones and can be performed with or without a ureteral access sheath (UAS). This study aimed to evaluate the effect of UAS use on postoperative dysuria and renal colic after fURS.

Methods: Sixty patients who underwent fURS for kidney stones were prospectively divided into two groups according to intraoperative UAS use. Patients treated with UAS were classified as Group 1, and those without UAS as Group 2. Operative time, stone-free rates, postoperative dysuria, hematuria, urgency, and renal colic were compared between the groups.

Results: A total of 60 patients were included in the study, with 49 patients in the UAS group (Group 1) and 11 patients in the non-UAS group (Group 2). No statistically significant differences were observed between the groups in terms of age or stone size. However, a statistically significant difference was observed in the distribution of sex between the groups (p=0.011). Dysuria was observed in 30.6% of patients in Group 1 and 54.5% of patients in Group 2, with no statistically significant difference between the groups (p=0.133). Postoperative renal colic rates were similar between the groups at 6, 12, and 24 hours. No patient experienced renal colic at 36 or 48 hours postoperatively. On postoperative day 1, stone-free status was observed in 20/49 (40.8%) patients in Group 1 and 5/11 (45.5%) patients in Group 2 (p = 0.778). At the 1-month follow-up, stone-free status was observed in 27/49 (55.1%) patients in Group 1 and 9/11 (81.8%) patients in Group 2 (p = 0.102).

Conclusion: Postoperative irritative lower urinary tract symptoms and renal colic may occur following fURS. In this cohort, UAS use was not associated with a statistically significant difference in postoperative dysuria or renal colic.

Keywords

Supporting Institution

This study was supported by the Scientific Research Projects Coordination Unit of Giresun University (BAP).

Ethical Statement

This study was approved by the Giresun University Clinical Research Ethics Committee (Date: January 9, 2019; Meeting No: 01; Decision No: 05; Application No: KAEK-76). Written informed consent was obtained from all participants.

References

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Details

Primary Language

English

Subjects

Urology

Journal Section

Research Article

Authors

Doğan Sabri Tok ^*
0000-0002-0546-6403
Türkiye

Erhan Demirelli
0000-0002-0187-2156
Türkiye

Ercan Öğreden
0000-0002-3779-7400
Türkiye

Huseyin Batur
0009-0003-3553-1362
Türkiye

Mefail Aksu
0000-0001-7490-2793
Türkiye

Uğur Semiz
0000-0003-2010-6235
Türkiye

Ural Oğuz
0000-0003-0652-7957
Türkiye

Early Pub Date

September 30, 2026

Publication Date

September 30, 2026

Submission Date

August 15, 2026

Acceptance Date

September 29, 2026

Published in Issue

Year 2026 Volume: 3 Number: 3

DOI

https://doi.org/10.70058/cjm.2017932

IZ

https://izlik.org/JA48NE23DY

Cite

RIS / Bibtex

APA

Tok, D. S., Demirelli, E., Öğreden, E., Batur, H., Aksu, M., Semiz, U., & Oğuz, U. (2026). Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms. Cerasus Journal of Medicine, 3(3), 221-227. https://doi.org/10.70058/cjm.2017932

AMA

1.Tok DS, Demirelli E, Öğreden E, et al. Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms. Cerasus J Med. 2026;3(3):221-227. doi:10.70058/cjm.2017932

Chicago

Tok, Doğan Sabri, Erhan Demirelli, Ercan Öğreden, et al. 2026. “Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms”. Cerasus Journal of Medicine 3 (3): 221-27. https://doi.org/10.70058/cjm.2017932.

EndNote

Tok DS, Demirelli E, Öğreden E, Batur H, Aksu M, Semiz U, Oğuz U (September 1, 2026) Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms. Cerasus Journal of Medicine 3 3 221–227.

IEEE

[1]D. S. Tok et al., “Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms”, Cerasus J Med, vol. 3, no. 3, pp. 221–227, Sept. 2026, doi: 10.70058/cjm.2017932.

ISNAD

Tok, Doğan Sabri - Demirelli, Erhan - Öğreden, Ercan - Batur, Huseyin - Aksu, Mefail - Semiz, Uğur - Oğuz, Ural. “Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms”. Cerasus Journal of Medicine 3/3 (September 1, 2026): 221-227. https://doi.org/10.70058/cjm.2017932.

JAMA

1.Tok DS, Demirelli E, Öğreden E, Batur H, Aksu M, Semiz U, Oğuz U. Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms. Cerasus J Med. 2026;3:221–227.

MLA

Tok, Doğan Sabri, et al. “Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms”. Cerasus Journal of Medicine, vol. 3, no. 3, Sept. 2026, pp. 221-7, doi:10.70058/cjm.2017932.

Vancouver

1.Doğan Sabri Tok, Erhan Demirelli, Ercan Öğreden, Huseyin Batur, Mefail Aksu, Uğur Semiz, Ural Oğuz. Comparison of Patients With and Without an Access Sheath in Flexible Ureterorenoscopy in Terms of Postoperative Irritative Lower Urinary Tract Symptoms. Cerasus J Med. 2026 Sep. 1;3(3):221-7. doi:10.70058/cjm.2017932