Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study
Aim: The aim of the study was to evaluate possible factors predicting stone-free status at retrograde intrarenal surgery for renal stones.Materials and Methods: A retrospective multicenter study was performed using data from 513 patients treated between February 2016 and January 2020 at four referra...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2020-12-01
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| Series: | Namık Kemal Tıp Dergisi |
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http://namikkemalmedj.com/archives/archive-detail/article-preview/prediction-of-possible-factors-that-affect-stone-f/43257
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| _version_ | 1797906829410304000 |
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| author | Oktay ÖZMAN Cem BAŞATAÇ Hacı Murat AKGÜL Önder ÇINAR Eyüp Burak SANCAK Cenk Murat YAZICI Bülent ÖNAL Haluk AKPINAR |
| author_facet | Oktay ÖZMAN Cem BAŞATAÇ Hacı Murat AKGÜL Önder ÇINAR Eyüp Burak SANCAK Cenk Murat YAZICI Bülent ÖNAL Haluk AKPINAR |
| author_sort | Oktay ÖZMAN |
| collection | DOAJ |
| description | Aim: The aim of the study was to evaluate possible factors predicting stone-free status at retrograde intrarenal surgery for renal stones.Materials and Methods: A retrospective multicenter study was performed using data from 513 patients treated between February 2016 and January 2020 at four referral centers in Turkey. The patients were divided into two groups whether they had no residual stone over 3 mm (Group 1) or had residual stones (Group 2). Pre and peroperative parameters were compared in both groups (Table 1). Univariate and multivariate analyzes were performed to identify any factors affecting the stone-free rate (Table 2).Results: Overall stone-free rate was 88.5% (454/513). Lower calyx stones and multipl stones were significantly higher in Group 2 (p=0.006, p=0.02, respectively). Also access sheathless procedure rate was significantly higher and the basket catheter useage rate was significantly lower in Group 2 (p=0.04, p<0.001, respectively) (Table 1). Multiple stone presence and basket catheter usage during the procedure were found as independent factors to predict the stone-free status of Retrograde Intrarenal Surgery according to the results of logistic regression analysis (95%CI 3.3577-0.9999; H-L p= 0.05 and 95%CI 0.4442-0.1290; H-L p< 0.001, respectively) (Table 2).Conclusion:The presence of multiple stones in preoperative imaging and the use of basket catheters peroperatively are independent factors predicting stone-free status in Retrograde Intrarenal Surgery. The presence of multiple stones increases the probability of residual stones after the procedure, while the use of basket catheters is to reduce this possibility. |
| first_indexed | 2024-04-10T10:26:49Z |
| format | Article |
| id | doaj.art-9c53a0f11d304268b9f4fa056e990fbd |
| institution | Directory Open Access Journal |
| issn | 2587-0262 |
| language | English |
| last_indexed | 2024-04-10T10:26:49Z |
| publishDate | 2020-12-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Namık Kemal Tıp Dergisi |
| spelling | doaj.art-9c53a0f11d304268b9f4fa056e990fbd2023-02-15T16:21:22ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622020-12-018339840310.37696/nkmj.72944513049054Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter StudyOktay ÖZMAN0Cem BAŞATAÇ1Hacı Murat AKGÜL2Önder ÇINAR3Eyüp Burak SANCAK4Cenk Murat YAZICI5Bülent ÖNAL6Haluk AKPINAR7 Gaziosmanpasa Training and Research Hospital, Urology Clinic, İstanbul, TURKEY. Group Florence Nightingale Hospitals, Department of Urology, İstanbul, TURKEY. Tekirdağ Namık Kemal University, School of Medicine, Department of Urology, Tekirdağ, TURKEY. Zonguldak Bulent Ecevit University, School of Medicine, Department of Urology, Zonguldak,TURKEY. Çanakkale Onsekiz Mart University, School of Medicine, Department of Urology, Çanakkale, TURKEY. Tekirdağ Namık Kemal University, School of Medicine, Department of Urology, Tekirdağ, TURKEY. İstanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Department of Urology, İstanbul, TURKEY. Group Florence Nightingale Hospitals, Department of Urology, İstanbul, TURKEY. Aim: The aim of the study was to evaluate possible factors predicting stone-free status at retrograde intrarenal surgery for renal stones.Materials and Methods: A retrospective multicenter study was performed using data from 513 patients treated between February 2016 and January 2020 at four referral centers in Turkey. The patients were divided into two groups whether they had no residual stone over 3 mm (Group 1) or had residual stones (Group 2). Pre and peroperative parameters were compared in both groups (Table 1). Univariate and multivariate analyzes were performed to identify any factors affecting the stone-free rate (Table 2).Results: Overall stone-free rate was 88.5% (454/513). Lower calyx stones and multipl stones were significantly higher in Group 2 (p=0.006, p=0.02, respectively). Also access sheathless procedure rate was significantly higher and the basket catheter useage rate was significantly lower in Group 2 (p=0.04, p<0.001, respectively) (Table 1). Multiple stone presence and basket catheter usage during the procedure were found as independent factors to predict the stone-free status of Retrograde Intrarenal Surgery according to the results of logistic regression analysis (95%CI 3.3577-0.9999; H-L p= 0.05 and 95%CI 0.4442-0.1290; H-L p< 0.001, respectively) (Table 2).Conclusion:The presence of multiple stones in preoperative imaging and the use of basket catheters peroperatively are independent factors predicting stone-free status in Retrograde Intrarenal Surgery. The presence of multiple stones increases the probability of residual stones after the procedure, while the use of basket catheters is to reduce this possibility. http://namikkemalmedj.com/archives/archive-detail/article-preview/prediction-of-possible-factors-that-affect-stone-f/43257 kidney stoneretrograde intrarenal surgerystone-free |
| spellingShingle | Oktay ÖZMAN Cem BAŞATAÇ Hacı Murat AKGÜL Önder ÇINAR Eyüp Burak SANCAK Cenk Murat YAZICI Bülent ÖNAL Haluk AKPINAR Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study Namık Kemal Tıp Dergisi kidney stone retrograde intrarenal surgery stone-free |
| title | Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study |
| title_full | Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study |
| title_fullStr | Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study |
| title_full_unstemmed | Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study |
| title_short | Prediction of Possible Factors That Affect Stone-Free Rate of Retrograde Intrarenal Surgery; A Multicenter Study |
| title_sort | prediction of possible factors that affect stone free rate of retrograde intrarenal surgery a multicenter study |
| topic | kidney stone retrograde intrarenal surgery stone-free |
| url |
http://namikkemalmedj.com/archives/archive-detail/article-preview/prediction-of-possible-factors-that-affect-stone-f/43257
|
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