Does the Use of an Access Sheath in Flexible Ureteroscopic Stone Surgery Affect the Stone-Free Rate in the Late Postoperative Period?

Authors : Ümit YILDIRIM, Mehmet USLU, Mehmet EZER, Bumin ORS

Pages : 82-86

View : 18 | Download : 10

Publication Date : 2023-04-26

Article Type : Research Paper

Abstract :Aim: Studies indicate that a ureteric access sheath insert ignore into journalissuearticles values(UAS); is unnecessary for retrograde intrarenal surgery 5 insert ignore into journalissuearticles values(RIRS); if the surgeon enters the ureter directly. This research aims to look back on our case series in light of the existing literature and directly compare cases with and without a UAS in terms of efficacy, safety, and stone-free rates in the late postoperative period insert ignore into journalissuearticles values(3rd month);. Materials and Methods: From January 2019 to June 2022, a retrospective screening of kidney stone cases treated with RIRS in our clinic was carried out. The study included one hundred fiftythree participants who complied with all inclusion and exclusion criteria. Group UAS was created for individuals who received UAS applications, and Group N for those who did not. The demographics, preoperative and postoperative laboratory, and radiographic data have been compared between the two groups. Results: A comparable distribution in terms of gender and age insert ignore into journalissuearticles values(50.85±13.20 vs. 52.84±14.27; p=0, 476); was seen between the groups. The Charlson Comorbidity Indexes were found to have a similar distribution [median insert ignore into journalissuearticles values(IQR);: 1 insert ignore into journalissuearticles values(0.5–2.5); vs. 1 insert ignore into journalissuearticles values(0–3);; p=0.986]. Serum creatinine levels insert ignore into journalissuearticles values(0.92±0.27 vs. 0.97±0.34; p=0, 560);, fever or sepsis insert ignore into journalissuearticles values(0.0% vs. 1.0%; p=0, 686);, and hospital stay insert ignore into journalissuearticles values(2.15±0.65 vs. 2.31±0.74; p=0, 691); were comparable between the groups during the surgical follow-up. Even though Group UAS was superior in the postoperative three-month stone-free assessment with computerized tomography, this difference was not statistically significant insert ignore into journalissuearticles values(72.9% vs. 73.3%; p=0, 552);. Conclusion: In the surgical management of kidney stones, RIRS can be used safely and effectively whether or not UAS is used. Complications and success rates in the late postoperative phase insert ignore into journalissuearticles values(3 months); are not significantly impacted by UAS use.
Keywords : access sheath, renal stones, retrograde intrarenal surgery