The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy
During rigid ureteroscopic lithotripsy, it is often encountered that the ureter is difficult to access. Attempts to advance the ureteroscope make the surgery more difficult. This study evaluated the preoperative predictive factors associated with difficult ureteral access (difficult ureter (DU)) dur...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/14/4591 |
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| author | Hyun-Soo Lee Seon-Beom Jo Wonku Hwang Jong-Wook Kim Mi-Mi Oh Hong-Seok Park Du-Geon Moon Sun-Tae Ahn |
| author_facet | Hyun-Soo Lee Seon-Beom Jo Wonku Hwang Jong-Wook Kim Mi-Mi Oh Hong-Seok Park Du-Geon Moon Sun-Tae Ahn |
| author_sort | Hyun-Soo Lee |
| collection | DOAJ |
| description | During rigid ureteroscopic lithotripsy, it is often encountered that the ureter is difficult to access. Attempts to advance the ureteroscope make the surgery more difficult. This study evaluated the preoperative predictive factors associated with difficult ureteral access (difficult ureter (DU)) during URS and assessed if clinical outcomes differed according to the degree of DU. This study identified 217 patients who underwent rigid ureteroscopic (URS) lithotripsy for the management of ureter stones between June 2017 and July 2021 in a tertiary hospital in Korea. In this group, preoperative factors were identified using univariate and multiple logistic regression analyses that could predict the degree of DU. Additionally, we also evaluated differences in treatment outcomes depending on the degree of DU. In 50 URS cases (22.0%), ureteral access using a ureteroscope was difficult. In the univariate and multivariate analyses, the degree of hydronephrosis was associated with the degree of DU. Treatment outcomes, extended operation times, low stone-free rate, postoperative pain, and secondary treatment were also significantly associated with the degree of DU. Clinicians can counsel patients with a lesser degree of hydronephrosis and approach their management accordingly. |
| first_indexed | 2024-03-11T00:58:24Z |
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| id | doaj.art-1c348dd9d8d54fbbb8202e547b65b1c3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:58:24Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1c348dd9d8d54fbbb8202e547b65b1c32023-11-18T19:51:07ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011214459110.3390/jcm12144591The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic LithotripsyHyun-Soo Lee0Seon-Beom Jo1Wonku Hwang2Jong-Wook Kim3Mi-Mi Oh4Hong-Seok Park5Du-Geon Moon6Sun-Tae Ahn7Department of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDepartment of Urology, Korea University Guro Hospital, No. 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of KoreaDuring rigid ureteroscopic lithotripsy, it is often encountered that the ureter is difficult to access. Attempts to advance the ureteroscope make the surgery more difficult. This study evaluated the preoperative predictive factors associated with difficult ureteral access (difficult ureter (DU)) during URS and assessed if clinical outcomes differed according to the degree of DU. This study identified 217 patients who underwent rigid ureteroscopic (URS) lithotripsy for the management of ureter stones between June 2017 and July 2021 in a tertiary hospital in Korea. In this group, preoperative factors were identified using univariate and multiple logistic regression analyses that could predict the degree of DU. Additionally, we also evaluated differences in treatment outcomes depending on the degree of DU. In 50 URS cases (22.0%), ureteral access using a ureteroscope was difficult. In the univariate and multivariate analyses, the degree of hydronephrosis was associated with the degree of DU. Treatment outcomes, extended operation times, low stone-free rate, postoperative pain, and secondary treatment were also significantly associated with the degree of DU. Clinicians can counsel patients with a lesser degree of hydronephrosis and approach their management accordingly.https://www.mdpi.com/2077-0383/12/14/4591rigid ureteroscopic lithotripsydifficult ureterhydronephrosis |
| spellingShingle | Hyun-Soo Lee Seon-Beom Jo Wonku Hwang Jong-Wook Kim Mi-Mi Oh Hong-Seok Park Du-Geon Moon Sun-Tae Ahn The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy Journal of Clinical Medicine rigid ureteroscopic lithotripsy difficult ureter hydronephrosis |
| title | The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy |
| title_full | The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy |
| title_fullStr | The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy |
| title_full_unstemmed | The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy |
| title_short | The Degree of Hydronephrosis as an Indicator of the Necessity for Ureteric Dilatation during Ureteroscopic Lithotripsy |
| title_sort | degree of hydronephrosis as an indicator of the necessity for ureteric dilatation during ureteroscopic lithotripsy |
| topic | rigid ureteroscopic lithotripsy difficult ureter hydronephrosis |
| url | https://www.mdpi.com/2077-0383/12/14/4591 |
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