Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery
Objective: This study evaluated ureteral injury and long-term stricture progression after the smallest ureteral access sheath (UAS) application during retrograde intrarenal surgery. Materials and Methods: A total of 154 patients who had undergone retrograde intrarenal surgery procedures and applied...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-12-01
|
| Series: | Journal of Urological Surgery |
| Subjects: | |
| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/ureteral-stricture-outcomes-using-small-ureteral-a/61289
|
| _version_ | 1797390197538684928 |
|---|---|
| author | Özer Güzel Melih Balcı Altuğ Tuncel Ahmet Asfuroğlu İbrahim Can Aykanat Yılmaz Aslan |
| author_facet | Özer Güzel Melih Balcı Altuğ Tuncel Ahmet Asfuroğlu İbrahim Can Aykanat Yılmaz Aslan |
| author_sort | Özer Güzel |
| collection | DOAJ |
| description | Objective: This study evaluated ureteral injury and long-term stricture progression after the smallest ureteral access sheath (UAS) application during retrograde intrarenal surgery. Materials and Methods: A total of 154 patients who had undergone retrograde intrarenal surgery procedures and applied a 9.5/11.5-F UAS for kidney stones between September 2016 and March 2019 were prospectively included, and intraoperative, postoperative, and late complications were evaluated. Ureteral injuries were visualized using flexible and semi-rigid ureterorenoscopy, and ureteral stricture was assessed by computed tomographic urography at one-year controls. Results: 56% (n=86) of the patients were males, and %45 (n=68) the mean age was 47±15 years, stone size was 17.1±8 mm, operative time was 56±23 minutes, 80% had ureter wall injury, and 39% and 41% had grade 0 and grade 1 lesions, respectively. Minor complications were developed in 3%, and major complications were seen in 2% of cases. The ureteral stricture was not observed in 1st-year controls. Conclusion: The routine application of 9.5/11.5-F UAS is safe to use in flexible ureteroscopy without any long-term adverse effects. |
| first_indexed | 2024-03-08T23:08:19Z |
| format | Article |
| id | doaj.art-38c6ce7e741143debbf943f10c2b29f4 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-03-08T23:08:19Z |
| publishDate | 2023-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-38c6ce7e741143debbf943f10c2b29f42023-12-15T10:16:31ZengGalenos YayineviJournal of Urological Surgery2148-95802023-12-0110432132510.4274/jus.galenos.2023.2022.009513049054Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal SurgeryÖzer Güzel0Melih Balcı1Altuğ Tuncel2Ahmet Asfuroğlu3İbrahim Can Aykanat4Yılmaz Aslan5 University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye University of Health Sciences Turkiye, Ankara Numune Training and Research Hospital, Clinic of Urology, Ankara, Turkiye Objective: This study evaluated ureteral injury and long-term stricture progression after the smallest ureteral access sheath (UAS) application during retrograde intrarenal surgery. Materials and Methods: A total of 154 patients who had undergone retrograde intrarenal surgery procedures and applied a 9.5/11.5-F UAS for kidney stones between September 2016 and March 2019 were prospectively included, and intraoperative, postoperative, and late complications were evaluated. Ureteral injuries were visualized using flexible and semi-rigid ureterorenoscopy, and ureteral stricture was assessed by computed tomographic urography at one-year controls. Results: 56% (n=86) of the patients were males, and %45 (n=68) the mean age was 47±15 years, stone size was 17.1±8 mm, operative time was 56±23 minutes, 80% had ureter wall injury, and 39% and 41% had grade 0 and grade 1 lesions, respectively. Minor complications were developed in 3%, and major complications were seen in 2% of cases. The ureteral stricture was not observed in 1st-year controls. Conclusion: The routine application of 9.5/11.5-F UAS is safe to use in flexible ureteroscopy without any long-term adverse effects. http://jurolsurgery.org/archives/archive-detail/article-preview/ureteral-stricture-outcomes-using-small-ureteral-a/61289 ureteral injuryureteral strictureureteral access sheathlong-term complicationspatient outcomes |
| spellingShingle | Özer Güzel Melih Balcı Altuğ Tuncel Ahmet Asfuroğlu İbrahim Can Aykanat Yılmaz Aslan Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery Journal of Urological Surgery ureteral injury ureteral stricture ureteral access sheath long-term complications patient outcomes |
| title | Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery |
| title_full | Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery |
| title_fullStr | Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery |
| title_full_unstemmed | Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery |
| title_short | Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery |
| title_sort | ureteral stricture outcomes using small ureteral access sheath during retrograde intrarenal surgery |
| topic | ureteral injury ureteral stricture ureteral access sheath long-term complications patient outcomes |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/ureteral-stricture-outcomes-using-small-ureteral-a/61289
|
| work_keys_str_mv | AT ozerguzel ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery AT melihbalcı ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery AT altugtuncel ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery AT ahmetasfuroglu ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery AT ibrahimcanaykanat ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery AT yılmazaslan ureteralstrictureoutcomesusingsmallureteralaccesssheathduringretrogradeintrarenalsurgery |