Christian Saussine1, Sero Andonian2, Dalibor Pacík3, Marcin Popiolek4, Antonio Celia5, Noor Buchholz6, Petros Sountoulides7, Bogdan Petrut8, Jean J M C H de la Rosette9. 1. 1 Department of Urology, Nouvel Hôpital Civil les Hôpitaux Universitaires , Strasbourg, France . 2. 2 Department of Urology, McGill University Health Centre , Quebec, Canada . 3. 3 Department of Urology, Masaryk University Hospital , Brno, Czech Republic . 4. 4 Department of Urology, Örebro University Hospital , Örebro, Sweden . 5. 5 Department of Urology, San Bassiano Hospital , Bassano del Grappa, Italy . 6. 6 Department of Urology, SVMC, Dubai Health Care City , Dubai, UAE. 7. 7 Department of Urology, General Hospital Of Veria , Veria, Greece . 8. 8 Department of Urology, Oncological Institute , Cluj-Napoca, Romania . 9. 9 University of Amsterdam, AMC University Hospital , Amsterdam, The Netherlands .
Abstract
INTRODUCTION: Retropulsion, defined as unintended migration of a stone under the influence of the fragmentation device in ureteroscopy (URS) procedures, occurs in 2% to 60% of the cases. Antiretropulsive devices (ARDs) have been studied in experimental and small clinical studies. The current study aims at describing the worldwide usage of ARD and the outcomes related to their usage. METHODS: The Clinical Research Office of the Endourological Society URS Global Study enrolled 11,885 patients who underwent URS and stone fragmentation for ureteral and/or renal stones. Of the 11,885 treated patients, 9877 were treated for ureteral stones, and data were available on stone migration and ARD use. RESULTS: Of all procedures, 14.5% were performed with the use of an ARD. Less stone migration (-2.0%; p = 0.050), higher stone-free rates (SFRs) (2.8%; p < 0.001), and shorter length of stay (-4.7%; p = 0.001) were observed in the antiretropulsive group. CONCLUSIONS: When an ARD is used during URS, less migration, higher SFRs, and shorter length of hospital stay are observed. This effect is independent from baseline differences and corrected for other treatment characteristics.
INTRODUCTION: Retropulsion, defined as unintended migration of a stone under the influence of the fragmentation device in ureteroscopy (URS) procedures, occurs in 2% to 60% of the cases. Antiretropulsive devices (ARDs) have been studied in experimental and small clinical studies. The current study aims at describing the worldwide usage of ARD and the outcomes related to their usage. METHODS: The Clinical Research Office of the Endourological Society URS Global Study enrolled 11,885 patients who underwent URS and stone fragmentation for ureteral and/or renal stones. Of the 11,885 treated patients, 9877 were treated for ureteral stones, and data were available on stone migration and ARD use. RESULTS: Of all procedures, 14.5% were performed with the use of an ARD. Less stone migration (-2.0%; p = 0.050), higher stone-free rates (SFRs) (2.8%; p < 0.001), and shorter length of stay (-4.7%; p = 0.001) were observed in the antiretropulsive group. CONCLUSIONS: When an ARD is used during URS, less migration, higher SFRs, and shorter length of hospital stay are observed. This effect is independent from baseline differences and corrected for other treatment characteristics.
Entities:
Keywords:
Ntrap; antiretropulsion; basket; migration; stone cone; ureteroscopy
Authors: Essam A Shalaby; Khaled M Abdelhalim; Mohamed Bakr; Ahmed A El-Lilly; Mohamed A Elkoushy Journal: Urolithiasis Date: 2022-04-22 Impact factor: 2.861