Sheathless RIRS in the era of slim and single use flexible ureteroscopy (ssFURS): Prospective analysis of clinical outcome.

IF 0.8 Q4 UROLOGY & NEPHROLOGY

Urologia Journal Pub Date : 2024-09-25 DOI:10.1177/03915603241282734

Faris Abushamma, Rola Abu Alwafa, Sa'ed H Zyoud

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引用次数: 0

Abstract

Introducation: the purpose is to assess the feasibility of sheathless and time-limited retrograde intrarenal surgery (RIRS) using slim and single use flexible ureteroscopy (ssFURS) in view of the stone-free rate (SFR), complication rate and upfront ureteral stenting.

Methods: A prospective, cross-sectional study of patients who underwent RIRS for kidney stones between December 2021 and December 2023 at our tertiary urology center was performed. Patient demographics, clinical presentations and stone characteristics were calculated. The SFR and complication rate were included.

Results: Hundred and eighteen patients were included. The median age was 48 (35.7-60.0) years. Diabetes mellitus (DM) was present in 32 patients (27.1%). The median length of the kidney stones was 1.15 (range [0.4-3.0]), and the median width was 1 (range [0.05-3.7]). The pelvi-ureteric junction (PUJ) represented 75 (63.6%) patients. The lower pole stone (LP) consisted of 27 (22.9%) patients. Thirty-seven (31.4%) of the patients had multiple kidney stones. An overall complete SFR after the first session was observed for 94 (79.7%) patients. The second session of complete SFR was observed in 15 patients (12.7%). A median stone length of 1 (0.8-1.5) cm and a median stone width of 0.95 (0.7-1.3) cm were both significantly associated with a complete SFR after the first session (p < 0.001). A single kidney stone in 69 (73.4%) patients was significantly more strongly associated with a complete SFR after the first session than was multiple kidney stones in 25 (26.6%) patients (p = 0.027). Upfront stenting was performed in 74 patients (62.7%). The complete SFR after the first session was significantly greater in patients who underwent upfront stenting (65; 69.1%) than in those who underwent primary ssFURS (29; 30.9%, p = 0.004).

Conclusion: Sheathless and time-limited RIRS using ssFURS is a feasible and successful procedure with low complication rate.

查看原文本刊更多论文

超薄一次性使用柔性输尿管镜（ssFURS）时代的无鞘 RIRS：临床结果的前瞻性分析。

介绍：目的是从无结石率（SFR）、并发症发生率和前期输尿管支架置入的角度，评估使用纤细一次性柔性输尿管镜（ssFURS）的无鞘限时逆行肾内手术（RIRS）的可行性：我们对 2021 年 12 月至 2023 年 12 月期间在我们的三级泌尿外科中心接受 RIRS 治疗肾结石的患者进行了一项前瞻性横断面研究。研究计算了患者的人口统计学特征、临床表现和结石特征。结果：结果：共纳入 118 名患者。中位年龄为 48（35.7-60.0）岁。32名患者（27.1%）患有糖尿病（DM）。肾结石的中位长度为1.15（范围[0.4-3.0]），中位宽度为1（范围[0.05-3.7]）。肾盂输尿管交界处（PUJ）结石患者有 75 人（占 63.6%）。下极结石（LP）患者有 27 人（22.9%）。37名患者（31.4%）患有多发性肾结石。第一次治疗后，94 名（79.7%）患者观察到了完整的 SFR。15名患者（12.7%）在第二次治疗后完全排石。结石长度中位数为 1 (0.8-1.5) 厘米，结石宽度中位数为 0.95 (0.7-1.3) 厘米，均与第一次治疗后的完全 SFR 显著相关（P = 0.027）。74名患者（62.7%）进行了前期支架植入术。接受前期支架植入术的患者（65；69.1%）在第一次治疗后的完全SFR明显高于接受初级ssFURS的患者（29；30.9%，P = 0.004）：结论：使用 ssFURS 进行无鞘和限时 RIRS 是一种可行且成功的手术，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Journal UROLOGY & NEPHROLOGY-

CiteScore

0.60

自引率

12.50%

发文量