Factors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experience

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dc.contributor.authorBas, Okan
dc.contributor.authorTuygun, Can
dc.contributor.authorDede, Onur
dc.contributor.authorSari, Sercan
dc.contributor.authorCakici, Mehmet Caglar
dc.contributor.authorOzturk, Ufuk
dc.contributor.authorGoktug, Goksel
dc.date.accessioned2024-04-24T16:00:08Z
dc.date.available2024-04-24T16:00:08Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractTo evaluate the factors affecting complication rates of flexible ureteroscopy and laser lithotripsy (FURSL). 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. 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). 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.en_US
dc.identifier.doi10.1007/s00345-016-1930-3
dc.identifier.endpage826en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue5en_US
dc.identifier.pmid27604373
dc.identifier.scopus2-s2.0-84986294551
dc.identifier.scopusqualityQ1
dc.identifier.startpage819en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-016-1930-3
dc.identifier.urihttps://hdl.handle.net/11468/14383
dc.identifier.volume35en_US
dc.identifier.wosWOS:000399837200017
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectComplicationen_US
dc.subjectUreteroscopyen_US
dc.subjectUrinary Calculien_US
dc.subjectFlexible Ureterorenoscopyen_US
dc.titleFactors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experienceen_US
dc.titleFactors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experience
dc.typeArticleen_US

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