Cargando…
The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study
BACKGROUND: The purpose of this study was to investigate the effect of preoperative ureteral stenting on retrograde intrarenal surgery (RIRS). METHODS: We retrospectively analyzed RIRS cases from October 2014 to June 2017. Patients were divided into two groups according to preoperative ureteral sten...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214966/ https://www.ncbi.nlm.nih.gov/pubmed/32420133 http://dx.doi.org/10.21037/tau.2020.03.09 |
_version_ | 1783532082327191552 |
---|---|
author | Sung, Luck Hee Cho, Dae Yeon |
author_facet | Sung, Luck Hee Cho, Dae Yeon |
author_sort | Sung, Luck Hee |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to investigate the effect of preoperative ureteral stenting on retrograde intrarenal surgery (RIRS). METHODS: We retrospectively analyzed RIRS cases from October 2014 to June 2017. Patients were divided into two groups according to preoperative ureteral stent insertion. The characteristics of the patients [age, body mass index (BMI), sex, previous disease history, hemoglobin, creatinine, estimated glomerular filtration rate (eGFR)], characters of stone (size, number, density, location), ureteral access sheath (UAS) success rate, perioperative complication, operative time, hospitalization time, period with stent, postoperative urinary tract infection (UTI) rate, stone free rate (SFR), and additional treatment rate were analyzed. RESULTS: RIRS was performed for 122 patients. Seventy-three patients had preoperative ureteral stents before RIRS, while 49 patients did not have preoperative ureteral stents. The median size of the stone was 14.5 mm. Overall SFR was 87.7%. Preoperative eGFR was relatively high in patients who underwent preoperative stenting (68.18 vs. 79.01 mL/min/1.73 m(2), P=0.042). Preoperative stenting led to improvement in the success rate of UAS insertion (97.3% vs. 87.8%, P=0.038) during surgery. Before and after propensity score matching revealed a significant difference in operation time when the diameter of the stone was smaller than 1 cm (P=0.019 and P=0.004). However, there was no significant difference in operation time, postoperative UTI rate, additional treatment rate, or SFR. CONCLUSIONS: Preoperative ureteral stenting can facilitate UAS insertion, and reduce operation time in RIRS for stones with a diameter less than 1 cm. |
format | Online Article Text |
id | pubmed-7214966 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-72149662020-05-15 The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study Sung, Luck Hee Cho, Dae Yeon Transl Androl Urol Original Article BACKGROUND: The purpose of this study was to investigate the effect of preoperative ureteral stenting on retrograde intrarenal surgery (RIRS). METHODS: We retrospectively analyzed RIRS cases from October 2014 to June 2017. Patients were divided into two groups according to preoperative ureteral stent insertion. The characteristics of the patients [age, body mass index (BMI), sex, previous disease history, hemoglobin, creatinine, estimated glomerular filtration rate (eGFR)], characters of stone (size, number, density, location), ureteral access sheath (UAS) success rate, perioperative complication, operative time, hospitalization time, period with stent, postoperative urinary tract infection (UTI) rate, stone free rate (SFR), and additional treatment rate were analyzed. RESULTS: RIRS was performed for 122 patients. Seventy-three patients had preoperative ureteral stents before RIRS, while 49 patients did not have preoperative ureteral stents. The median size of the stone was 14.5 mm. Overall SFR was 87.7%. Preoperative eGFR was relatively high in patients who underwent preoperative stenting (68.18 vs. 79.01 mL/min/1.73 m(2), P=0.042). Preoperative stenting led to improvement in the success rate of UAS insertion (97.3% vs. 87.8%, P=0.038) during surgery. Before and after propensity score matching revealed a significant difference in operation time when the diameter of the stone was smaller than 1 cm (P=0.019 and P=0.004). However, there was no significant difference in operation time, postoperative UTI rate, additional treatment rate, or SFR. CONCLUSIONS: Preoperative ureteral stenting can facilitate UAS insertion, and reduce operation time in RIRS for stones with a diameter less than 1 cm. AME Publishing Company 2020-04 /pmc/articles/PMC7214966/ /pubmed/32420133 http://dx.doi.org/10.21037/tau.2020.03.09 Text en 2020 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Sung, Luck Hee Cho, Dae Yeon The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title | The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title_full | The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title_fullStr | The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title_full_unstemmed | The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title_short | The role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
title_sort | role of preoperative ureteral stenting in retrograde intrarenal surgery in renal stone patients: a propensity score-matched study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214966/ https://www.ncbi.nlm.nih.gov/pubmed/32420133 http://dx.doi.org/10.21037/tau.2020.03.09 |
work_keys_str_mv | AT sungluckhee theroleofpreoperativeureteralstentinginretrogradeintrarenalsurgeryinrenalstonepatientsapropensityscorematchedstudy AT chodaeyeon theroleofpreoperativeureteralstentinginretrogradeintrarenalsurgeryinrenalstonepatientsapropensityscorematchedstudy AT sungluckhee roleofpreoperativeureteralstentinginretrogradeintrarenalsurgeryinrenalstonepatientsapropensityscorematchedstudy AT chodaeyeon roleofpreoperativeureteralstentinginretrogradeintrarenalsurgeryinrenalstonepatientsapropensityscorematchedstudy |