Okan Baş1, Can Tuygun2, Onur Dede3, Sercan Sarı4, Mehmet Çağlar Çakıcı2, Ufuk Öztürk2, Göksel Göktuğ2, Abdurrahim İmamoğlu2. 1. Department of Urology, Diskapi Yildirim Beyazid Training and Research Hospital, Irfan Bastug Street, Altindag, Ankara, 06110, Turkey. drokanbas@hotmail.com. 2. Department of Urology, Diskapi Yildirim Beyazid Training and Research Hospital, Irfan Bastug Street, Altindag, Ankara, 06110, Turkey. 3. Department of Urology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey. 4. Department of Urology, Sarıkamış State Hospital, Kars, Turkey.
Abstract
PURPOSE: To evaluate the factors affecting complication rates of flexible ureteroscopy and laser lithotripsy (FURSL). MATERIALS AND METHODS: Data on a total of 1395 patients, with 1411 renal units underwent 1571 procedures with FURSL for renal and/or proximal ureteral stones between April 2012 and January 2016, were retrospectively analyzed. Complications were assessed using the Satava and modified Clavien systems. Univariate and multivariate analyses were done to determine predictive factors affecting complication rates. RESULTS: The mean patient age in the total procedures was 45.68 ± 14.00 years (range 2-86 years), and the mean stone size was 15.15 ± 8.32 mm (range 5-75 mm). The overall success rate was 95.6 %. A total of 209 (13.3 %) cases suffered from complications with intraoperative complications rates of 5.9 % and postoperative complication rates of 7.3 %. Univariate analysis revealed no significant difference in complication rates in respect of age, gender, body mass index, use of ureteral access sheath, operation time, bleeding disorder, solitary kidney, preoperative stenting, American Society of Anesthesiologists score, repeated procedure or location of stones (all p value >0.05). Complication rates were determined to be significantly affected by stone size (p = 0.026), multiplicity (p = 0.028) and the presence of congenital renal abnormality (p < 0.01). The only significant factor in multivariate analysis was the presence of congenital renal abnormalities (p = 0.02). CONCLUSIONS: The results of the current study indicated that stone size, stone number and the presence of congenital renal abnormalities were factors affecting complication rates after FURSL, although congenital renal abnormality was the only independent predictor among these risk factors.
PURPOSE: To evaluate the factors affecting complication rates of flexible ureteroscopy and laser lithotripsy (FURSL). MATERIALS AND METHODS: Data on a total of 1395 patients, with 1411 renal units underwent 1571 procedures with FURSL for renal and/or proximal ureteral stones between April 2012 and January 2016, were retrospectively analyzed. Complications were assessed using the Satava and modified Clavien systems. Univariate and multivariate analyses were done to determine predictive factors affecting complication rates. RESULTS: The mean patient age in the total procedures was 45.68 ± 14.00 years (range 2-86 years), and the mean stone size was 15.15 ± 8.32 mm (range 5-75 mm). The overall success rate was 95.6 %. A total of 209 (13.3 %) cases suffered from complications with intraoperative complications rates of 5.9 % and postoperative complication rates of 7.3 %. Univariate analysis revealed no significant difference in complication rates in respect of age, gender, body mass index, use of ureteral access sheath, operation time, bleeding disorder, solitary kidney, preoperative stenting, American Society of Anesthesiologists score, repeated procedure or location of stones (all p value >0.05). Complication rates were determined to be significantly affected by stone size (p = 0.026), multiplicity (p = 0.028) and the presence of congenital renal abnormality (p < 0.01). The only significant factor in multivariate analysis was the presence of congenital renal abnormalities (p = 0.02). CONCLUSIONS: The results of the current study indicated that stone size, stone number and the presence of congenital renal abnormalities were factors affecting complication rates after FURSL, although congenital renal abnormality was the only independent predictor among these risk factors.
Authors: Enrique Perez Castro; Palle J S Osther; Viorel Jinga; Hassan Razvi; Konstantinos G Stravodimos; Kandarp Parikh; Ali R Kural; Jean J de la Rosette Journal: Eur Urol Date: 2014-01-23 Impact factor: 20.096
Authors: Jean de la Rosette; John Denstedt; Petrisor Geavlete; Francis Keeley; Tadashi Matsuda; Margaret Pearle; Glenn Preminger; Olivier Traxer Journal: J Endourol Date: 2013-12-17 Impact factor: 2.942
Authors: Okan Bas; Hasan Bakirtas; Nevzat Can Sener; Ufuk Ozturk; Can Tuygun; H N Goksel Goktug; M Abdurrahim Imamoglu Journal: Urolithiasis Date: 2013-10-27 Impact factor: 3.436
Authors: Samuel Zetumer; Scott Wiener; David B Bayne; Manuel Armas-Phan; Samuel L Washington; David T Tzou; Marshall Stoller; Thomas Chi Journal: J Endourol Date: 2019-08-20 Impact factor: 2.942
Authors: Jaap D Legemate; Stefano P Zanetti; Joyce Baard; Guido M Kamphuis; Emanuele Montanari; Olivier Traxer; Jean Jmch de la Rosette Journal: World J Urol Date: 2017-05-18 Impact factor: 4.226
Authors: Lisa Lavan; Thomas Herrmann; Christopher Netsch; Benedikt Becker; Bhaskar K Somani Journal: World J Urol Date: 2019-05-17 Impact factor: 4.226
Authors: Christian Rehme; Carolin Burchert; Mustafa Tosun; Tibor Szarvas; Nadine Nagy; Herbert Ruebben; Boris Hadaschik; Christian Niedworok Journal: Transl Androl Urol Date: 2021-01