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Does ureteral access sheath affect the outcomes of retrograde intrarenal surgery: a prospective study    
Yazarlar
Erman Damar
Cagri Senocak
Dr. Öğr. Üyesi Rıdvan ÖZBEK Dr. Öğr. Üyesi Rıdvan ÖZBEK
Kastamonu Üniversitesi
Hakan Bahadir Haberal
Fahri Erkan Sadioglu
Mustafa Yordam
Omer Faruk Bozkurt
Özet
To evaluate whether or not using a ureteral access sheath (UAS) affects the perioperative outcomes after retrograde intrarenal surgery (RIRS) performed in patients with renal stones. An observational study was carried out using data of 60 patients who underwent RIRS with the diagnosis of renal stones <2 cm between February 2017 and November 2017 at our institution. The data of the 60 patients were registered prospectively during the study period. Patients were divided into two groups based on whether a UAS was used (Group 1-30 patients) or not (Group 2-30 patients) during RIRS. Perioperative outcomes and complications were collected and analyzed. The stone burdens of the patients in Group 1 and in Group 2 were 76.59 mm and 62.19 mm, respectively ( = .160). There was no statistically significant difference in SFR ( = 1.000), complication rates ( = .418), and operation time ( = .411) between both groups, except for the fact that postoperative pain intensity levels using the VAS were slightly higher in Group 2 (4.13 ± 2.37 vs. 5.33 ± 1.89,  = .064). In the present study, we showed that similar success and acceptable complication rates can be achieved without using UAS compared to using UAS during RIRS. However, using UAS may provide an advantage in reducing postoperative pain after RIRS.
Anahtar Kelimeler
Nephrolithiasis | laser lithotripsy | treatment outcome | ureteral access sheath | ureteroscopy
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
Dergi ISSN 1364-5706
Makale Dili İngilizce
Basım Tarihi 06-2022
Cilt No 31
Sayı 5
Sayfalar 777 / 781
Doi Numarası 10.1080/13645706.2021.1941117