Urolithiasis最新文献_第6页

Enhancing lithotripsy efficiency in retrograde intrarenal surgery via a flexible kidney-fixed position: findings from a prospective cohort study. 一项前瞻性队列研究的结果：通过灵活的肾脏固定位置提高逆行肾内手术的碎石效率。

IF 2 2区医学

Urolithiasis Pub Date : 2025-01-03 DOI: 10.1007/s00240-024-01690-0

Zhen Zhang, Lei Zhou, Zongsan Cheng, Xiaoma Zhang

{"title":"Enhancing lithotripsy efficiency in retrograde intrarenal surgery via a flexible kidney-fixed position: findings from a prospective cohort study.","authors":"Zhen Zhang, Lei Zhou, Zongsan Cheng, Xiaoma Zhang","doi":"10.1007/s00240-024-01690-0","DOIUrl":"10.1007/s00240-024-01690-0","url":null,"abstract":"Retrograde intrarenal surgery (RIRS) is recognized as an effective intervention for renal stones measuring less than 20 mm. This study aims to assess the efficacy and safety of a novel flexible kidney-fixed position compared to the conventional lithotomy position, focusing on lithotripsy efficiency and stone-free rates (SFR). A total of 100 patients undergoing unilateral RIRS between January 2023 and September 2024 were randomly allocated to either the conventional lithotomy position group or the kidney-fixed position group. Comparative analyses were conducted on demographic data, stone characteristics, intraoperative parameters, kidney movement metrics, and postoperative complications. A total of 97 patients successfully completed the study, with 47 participants assigned to the conventional lithotomy group and 49 to the kidney-fixed group. The kidney-fixed position was associated with a significant reduction in kidney movement (4.00 mm compared to 15.30 mm, p < 0.001) and a decrease in operative time (48.35 min versus 71.72 min, p < 0.001). Additionally, the SFR for stones measuring ≤ 4 mm was significantly higher in the kidney-fixed group (91.84% compared to 68.09%, p = 0.020). The implementation of a flexible kidney-fixed position markedly improves the efficacy of lithotripsy during RIRS, resulting in reduced operative time and an elevated SFR without a corresponding increase in postoperative complications. This technique holds promise for advancing the surgical management of renal calculi, warranting further investigation to substantiate these findings and assess long-term outcomes.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"19"},"PeriodicalIF":2.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of flexible and navigable suction ureteral access sheath with conventional ureteral access sheath for pediatric retrograde intrarenal surgery: a single-center propensity-matched analysis. 用于儿童逆行肾内手术的柔性和可导航的抽吸输尿管鞘与传统输尿管鞘的比较：单中心倾向匹配分析。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-31 DOI: 10.1007/s00240-024-01686-w

Bilge Turedi, Ali Sezer

{"title":"Comparison of flexible and navigable suction ureteral access sheath with conventional ureteral access sheath for pediatric retrograde intrarenal surgery: a single-center propensity-matched analysis.","authors":"Bilge Turedi, Ali Sezer","doi":"10.1007/s00240-024-01686-w","DOIUrl":"https://doi.org/10.1007/s00240-024-01686-w","url":null,"abstract":"The flexible and navigable suction ureteral access sheath (FANS-UAS) has increasingly been recognized as a potential game changer for retrograde intrarenal surgery (RIRS). While this innovative technology has demonstrated promising results in adult populations, there is a notable lack of evidence regarding its application in pediatric cases, particularly in comparison to conventional ureteral access sheaths (CUAS). This study aimed to perform a comparative analysis of pediatric kidney stone cases treated with RIRS using FANS-UAS and CUAS. We conducted a retrospective matched pair analysis, matching patients based on preoperative age, stone location, and stone size. After matching, data from 46 patients (23 in each group) were analyzed. The groups were comparable in terms of age, hydronephrosis degree, location and size of the stone (p = 0.543, p = 0.807, p = 0.840, and p = 0.577, respectively). Operation times were shorter in the FANS-UAS group (CUAS: 67.9 ± 21.0 min, FANS-UAS: 50.4 ± 21.1 min, p = 0.007). The initial stone-free rate (SFR) was 65.2% in the CUAS group and 91.3% in the FANS-UAS group, with a statistically significant difference (p = 0.032). However, no significant difference was found regarding the final SFR (p = 0.295). The number and duration of DJ-stents, were significantly higher in the CUAS group (p = 0.006 for both). The FANS-UAS group had a significantly fewer anesthesia sessions (p = 0.001). There were no significant differences in complication rates (p = 0.303). Our findings suggest that FANS-UAS offers significant advantages over CUAS in pediatric RIRS, including higher initial success rates, shorter operation times, reduced anesthesia requirements, and fewer treatment sessions, with comparable safety profiles.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"17"},"PeriodicalIF":2.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prolyl hydroxylase domain inhibitors prevent kidney crystal formation by suppressing inflammation. 脯氨酸羟化酶结构域抑制剂通过抑制炎症来防止肾晶体的形成。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-26 DOI: 10.1007/s00240-024-01677-x

Kengo Kawase, Shuzo Hamamoto, Rei Unno, Kazumi Taguchi, Atsushi Okada, Takahiro Yasui

{"title":"Prolyl hydroxylase domain inhibitors prevent kidney crystal formation by suppressing inflammation.","authors":"Kengo Kawase, Shuzo Hamamoto, Rei Unno, Kazumi Taguchi, Atsushi Okada, Takahiro Yasui","doi":"10.1007/s00240-024-01677-x","DOIUrl":"https://doi.org/10.1007/s00240-024-01677-x","url":null,"abstract":"The early stages of kidney crystal formation involve inflammation and hypoxia-induced cell injury; however, the role of the hypoxic response in kidney crystal formation remains unclear. This study investigated the effects of a prolyl hydroxylase domain inhibitor (roxadustat) on renal calcium oxalate (CaOx) crystal formation through in vitro and in vivo approaches. In the in vitro experiment, murine renal tubular cells (RTCs) were exposed to varying roxadustat concentrations and CaOx crystals. CaOx monohydrate (COM) crystal adhesion was evaluated using fluorescent labels, whereas western blotting was used to examine protein expression. Quantitative real-time polymerase chain reaction was used to analyze gene expression changes. Macrophage responses were investigated by co-culturing them with RTCs treated with COM. In the in vivo experiment, C57BL/6J mice were injected with roxadustat or saline for 2 days, followed by glyoxylate for 6 days to induce renal crystal deposition. Biochemical measurements recorded plasma erythropoietin, urinary data, and pH levels. Roxadustat suppressed the adhesion of COM crystals to RTCs and the expression of proinflammatory genes, such as chemokine (C-C motif) ligand 2 (Ccl2) and secreted phosphoprotein 1 (Spp1). Roxadustat decreased the expression levels of Ccl2, tumor necrosis factor (Tnf), and interleukin 6 (Il6) in co-cultured macrophages. In the in vivo experiment, the amount of renal CaOx crystal deposits was significantly lower in the roxadustat-treated group than in the vehicle group. Roxadustat treatment decreased Ccl2, Tnf, and adheision G protein-coupled receptor E1 (Adgre1) expression in the kidneys. Roxadustat reduced kidney inflammation and CaOx crystal deposition, suggesting its potential as a therapeutic option for kidney stone prevention.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"16"},"PeriodicalIF":2.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Innovative use of the new pulsed-thulium: YAG laser for ureteroscopic lithotripsy: can the "kidney stone calculator" predict lithotripsy duration? 新型脉冲铥YAG激光输尿管镜碎石的创新应用：“肾结石计算器”能否预测碎石持续时间？

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-24 DOI: 10.1007/s00240-024-01679-9

Stessy Kutchukian, Marie Chicaud, Steeve Doizi, Catalina Solano, Olivier Traxer, Frédéric Panthier

{"title":"Innovative use of the new pulsed-thulium: YAG laser for ureteroscopic lithotripsy: can the \"kidney stone calculator\" predict lithotripsy duration?","authors":"Stessy Kutchukian, Marie Chicaud, Steeve Doizi, Catalina Solano, Olivier Traxer, Frédéric Panthier","doi":"10.1007/s00240-024-01679-9","DOIUrl":"https://doi.org/10.1007/s00240-024-01679-9","url":null,"abstract":"To assess the accuracy of Kidney Stone Calculator(KSC), a software designed for surgical planning, in predicting the duration of lithotripsy during flexible ureteroscopy(FURS) when using the novel pulsed-Thulium: YAG(p-Tm: YAG) laser. From February to August 2023, a single-center prospective study was conducted, including patients with kidney or ureteral stones through non-contrast computed tomography(NCCT), who underwent FURS with p-Tm: YAG laser lithotripsy. KSC used three-dimensional segmentation of the stones from NCCT images, along with an interactive user interface for laser settings, to estimate the stone volume(SV) and the lithotripsy duration(LD). The correlation between the estimated(esLD) and effective(efLD) lithotripsy duration was evaluated. A multiple linear regression analysis was conducted to identify preoperative and intraoperative factors affecting discrepancies between esLD and efLD. Twenty-eight patients were included with a median age of 55(48-74) years and 71% of men. Stone were located in the renal cavities(71%), ureter(21%) or both locations(8%). Median maximum stone diameter(MSD) and SV were respectively 14(11-30)mm and 1239(294, 2000)mm3. Nine patients had a SV equal to or greater than 2000mm3. EsLD and efLD did not differ(28 vs. 32 min, p = 0.8892), and were highly and positively correlated(r = + 0.90,p-value = < 0.001). Multivariate analysis indicated that the difference between estimated and effective lithotripsy were correlated with the stone volume(> 2000mm3), the use of ureteral access sheath and for struvite stones. \"Kidney Stone Calculator\" can accurately estimate LD during FURS with the p-Tm: YAG laser. Variables such as stone volumes over 2000mm3 and stone composition could be integrated the estimation. KSC is the only software that estimates LD with Holmium: YAG, Thulium Fiber and p-Tm: YAG lasers.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"14"},"PeriodicalIF":2.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter: Supracostal ultrasound guided approach percutaneous nephrolithotomy (SUGA-PNL) versus retrograde intrarenal surgery for large volume isolated upper calyceal stones: a prospective randomized analysis. 信：肋上超声引导下经皮肾镜取石术（SUGA-PNL）与逆行肾内手术治疗大体积孤立肾盏上结石：一项前瞻性随机分析。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-24 DOI: 10.1007/s00240-024-01687-9

Jinchen Wu, Liling Qiu, Jiansheng Xiao

引用次数: 0

A new scoring system to predict febrile urinary tract infection after retrograde intrarenal surgery. 一种预测逆行肾内手术后发热性尿路感染的新评分系统。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-24 DOI: 10.1007/s00240-024-01685-x

Cagdas Senel, Anil Erkan, Tanju Keten, Ibrahim Can Aykanat, Ali Yasin Ozercan, Koray Tatlici, Serdar Basboga, Sinan Saracli, Ozer Guzel, Altug Tuncel

{"title":"A new scoring system to predict febrile urinary tract infection after retrograde intrarenal surgery.","authors":"Cagdas Senel, Anil Erkan, Tanju Keten, Ibrahim Can Aykanat, Ali Yasin Ozercan, Koray Tatlici, Serdar Basboga, Sinan Saracli, Ozer Guzel, Altug Tuncel","doi":"10.1007/s00240-024-01685-x","DOIUrl":"https://doi.org/10.1007/s00240-024-01685-x","url":null,"abstract":"The current study aimed to determine the risk factors and define a new scoring system for predicting febrile urinary tract infection (F-UTI) following retrograde intrarenal surgery (RIRS) by using machine learning methods. We retrospectively analyzed the medical records of patients who underwent RIRS and 511 patients were included in the study. The patients were divided into two groups: Group 1 consisted of 34 patients who developed postoperative F-UTI, and Group 2 consisted of 477 patients who did not. We applied feature selection to determine the relevant variables. Consistency subset evaluator and greedy stepwise techniques were used for attribute selection. Logistic regression analysis was conducted on the variables obtained through feature selection to develop our scoring system. The accuracy of discrimination was assessed using the receiver operating characteristic curve. Five of the 19 variables, namely diabetes mellitus, hydronephrosis, administration type, a history of post-ureterorenoscopy (URS) UTI, and urine leukocyte count, were identified through feature selection. Binary logistic regression analysis showed that hydronephrosis, a history of post-URS UTI, and urine leukocyte count were significant independent predictors of F-UTI following RIRS. These three factors demonstrated good discrimination ability, with an area under curve value of 0.837. In the presence of at least one of these factors, 32 of 34 patients (94.1%) who developed postoperative F-UTI were successfully predicted. This new scoring system developed based on hydronephrosis, a history of post-URS UTI, and urine leukocyte count can successfully discriminate patients at risk of F-UTI development after RIRS.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"15"},"PeriodicalIF":2.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Harnessing magnetism: evaluation of safety, tolerance and feasibility of magnetic kidney stone retrieval in vivo in porcine models. 利用磁性：猪模型体内磁性肾结石回收的安全性、耐受性和可行性评估。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-24 DOI: 10.1007/s00240-024-01684-y

Thomas Amiel, Shyam Srinivasan, Chiara Turrina, Florian Ebel, Michael Straub, Sebastian P Schwaminger

{"title":"Harnessing magnetism: evaluation of safety, tolerance and feasibility of magnetic kidney stone retrieval in vivo in porcine models.","authors":"Thomas Amiel, Shyam Srinivasan, Chiara Turrina, Florian Ebel, Michael Straub, Sebastian P Schwaminger","doi":"10.1007/s00240-024-01684-y","DOIUrl":"10.1007/s00240-024-01684-y","url":null,"abstract":"The primary objective of urolithiasis therapy is complete stone removal and highest stone-clearance rates possible to minimize recurrence. A novel approach that employs a magnetic suspension and a magnetic probe for the passive collection and removal of small residual fragments was developed. This study assessed the feasibility of this system in porcine models. Five female domestic pigs underwent retrograde intrarenal surgery under general anaesthesia to assess the new magnetic system. Pre-analysed human calculi were endoscopically inserted and comminuted using lithotripsy. The magnetic suspension was applied, and the magnetic-stone fragment complex was extracted. After nephrectomy, independent blinded pathologists evaluated all the kidneys. Safety and tolerance assessments revealed no adverse events (i.e. no complications on the Clavien-Dindo scale > 1) or complications associated with treatment. This study revealed superficial urothelial damage in all animals, characterized by desquamation and inflammation, caused primarily by the insertion of access sheaths and laser lithotripsy. Residual magnetic particles were observed in the renal pelvis but did not show signs of toxicity even though this study is limited to the acute treatment. No pathological indicators were observed in the hemogram and urinalysis. Overall, the treatment did not cause any significant pathological changes. Preclinical in vivo evaluation of magnetic extraction of small rest fragments in porcine kidneys presents a promising, atraumatic approach for fragments removal. It demonstrated safety, tolerance, and feasibility that warrants clinical investigation. This method has the potential to increase stone-clearance rates with shorter extraction times, offering a possibility for addressing the challenge of urolithiasis in clinical practice.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"12"},"PeriodicalIF":2.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of risk factors for SIRS after PCNL in patients with solitary kidney. 孤立肾患者PCNL后SIRS的危险因素分析。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-21 DOI: 10.1007/s00240-024-01681-1

Yuju Fang, Yaqin Liu, Haibing Huang, Guoxi Zhang, Xiaofeng Zou, Tianpeng Xie

{"title":"Analysis of risk factors for SIRS after PCNL in patients with solitary kidney.","authors":"Yuju Fang, Yaqin Liu, Haibing Huang, Guoxi Zhang, Xiaofeng Zou, Tianpeng Xie","doi":"10.1007/s00240-024-01681-1","DOIUrl":"https://doi.org/10.1007/s00240-024-01681-1","url":null,"abstract":"The purpose of this study is to address the gap in the existing literature regarding the risk factors for systemic inflammatory response syndrome (SIRS) in patients with a solitary kidney who undergo percutaneous nephrolithotomy (PCNL).This retrospective study reviewed the clinical data of 51 patients with solitary kidney stones who underwent PCNL from January 2018 to January 2024.The study evaluated demographic information, stone characteristics, and laboratory data. Among the 51 patients evaluated, 12 (23.5%) developed SIRS. Multivariate analysis showed that a high urinary white blood cell count (p = 0.041; OR, 1.004; 95% CI, 1.000-1.008), prolonged operation time (p = 0.040; OR, 1.054; 95% CI, 1.005-1.107), and postoperative blood leukocyte count (p = 0.031; OR, 1.459; 95% CI, 1.020-2.061) were independent risk factors for SIRS after PCNL in patients with a solitary kidney. Given the unique physiological conditions of patients with solitary kidneys, who face a higher incidence of kidney stones and have lower risk tolerance, the results of this study provide insights into the risk factors for SIRS after PCNL in these patients. By identifying these factors, clinicians can better stratify risk, implement preventive and therapeutic measures in a timely manner, reduce the risk of SIRS, and improve overall patient outcomes.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"10"},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Matched pair analysis of wide versus narrow focus during shockwave lithotripsy for urolithiasis. 尿石症冲击波碎石术中宽焦与窄焦的配对分析。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-21 DOI: 10.1007/s00240-024-01682-0

Anna J Sharp, Catherine E Lovegrove, Roshan Sreekumar, Mandy Spencer, Benjamin W Turney, Sarah A Howles

{"title":"Matched pair analysis of wide versus narrow focus during shockwave lithotripsy for urolithiasis.","authors":"Anna J Sharp, Catherine E Lovegrove, Roshan Sreekumar, Mandy Spencer, Benjamin W Turney, Sarah A Howles","doi":"10.1007/s00240-024-01682-0","DOIUrl":"10.1007/s00240-024-01682-0","url":null,"abstract":"Purpose: To compare stone clearance and complications between a 'wide' (9 × 50 mm) and 'narrow' shockwave focus (6 × 28 mm) when undertaking shockwave lithotripsy (SWL) in patients with renal or ureteric stones.Methods: Data from patients undergoing SWL using the dual focus Storz Modulith SLX-F2 lithotripter at a single centre were prospectively collected between February 2018 and September 2020. Patients were matched by stone size, location, and number of treatments. Stone clearance, re-presentation within 31 days, symptoms, complications, and need for post SWL-interventions were compared using McNemar's test.Results: Patients receiving wide focus SWL (WF-SWL, n = 152) were matched with patients receiving narrow focus SWL (NF-SWL, n = 152). Median stone size was 6 mm; energy delivered to WF-SWL and NF-SWL groups was comparable. Complete stone clearance was achieved in 55% of WF-SWL patients (n = 84) and 41% (n = 63) of NF-SWL patients (p = 0.04). Treatment was considered successful in 74% (n = 113) of WF-SWL cases and 66% (n = 100) of NF-SWL (p = 0.20). No difference in rates of readmission, post-procedural pain, haematuria, urinary tract infections, analgesia or antibiotic requirements were identified.Conclusion: This service evaluation demonstrates no differences in rates of overall treatment success nor complications on comparing WF-SWL and NF-SWL.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"11"},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of training given to patients who underwent ureteroscopy with double-J stent placement on anxiety before and after surgery and readiness for discharge. 输尿管镜下双j型支架置入患者接受训练对术前术后焦虑和出院准备的影响。

IF 2 2区医学

Urolithiasis Pub Date : 2024-12-16 DOI: 10.1007/s00240-024-01654-4

Muazzez Merve Toraman, Dilek Gürçayır

{"title":"The effect of training given to patients who underwent ureteroscopy with double-J stent placement on anxiety before and after surgery and readiness for discharge.","authors":"Muazzez Merve Toraman, Dilek Gürçayır","doi":"10.1007/s00240-024-01654-4","DOIUrl":"10.1007/s00240-024-01654-4","url":null,"abstract":"Patient education is effective in reducing the level of anxiety before and after surgery and increasing the level of readiness for discharge. Patient education provided by nurses can be planned and applied individually. Therefore, this study aims to determine the effect of the education in whom a double J stent after ureteroscopy on their pre- and postoperative anxiety and levels of readiness for discharge. This research study is a randomized controlled trial with control and intervention groups, pre- and posttests. This study was conducted between November 2021 and May 2022 in a university hospital in Turkey. The patients were divided at random into two groups, control (n = 61) and intervention (n = 61). The Personal Information Form, State-Trait Anxiety Inventory (STAI-I, STAI-II), Surgery-Specific Anxiety Scale (SSAS), Readiness for Hospital Discharge Scale for Adult Patients-Short Form (RHDS/SF) and Readiness for Hospital Discharge Scale- Adult-Nurse Assesment Short Form (RN-RHDS/SF) were used to collect the data. The mean SSAS and STAI-I scores on the morning of surgery and before discharge were found to be significantly lower in the intervention group than the control group. The mean RHDS/SF and RN-RHDS/SF scores on the before discharge were found to be significantly higher in the intervention group than the control group. It was concluded that the education provided to the patients in whom a double J stent after ureteroscopy reduced pre- and postoperative anxiety and increased the level of readiness for discharge.","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"9"},"PeriodicalIF":2.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0