Evidence map›Paper›PMID 40313695›Full record

ArticleCentral European journal of urology2024

The role of preoperative ureteral stenting in retrograde intrarenal surgery outcomes for renal stones: a matched-pair analysis.

Samet Senel, Huseyin Gultekin, Yalcin Kizilkan, Cuneyt Ozden, Kazim Ceviz, Antonios Koudonas, Ahmet Halil Sevinc

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Article in Central European journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Samet SenelDepartment of Urology, Ankara City Hospital, Turkey.
Huseyin GultekinDepartment of Urology, Ankara City Hospital, Turkey.
Yalcin KizilkanDepartment of Urology, Ankara City Hospital, Turkey.
Cuneyt OzdenDepartment of Urology, Ankara City Hospital, Turkey.
Kazim CevizDepartment of Urology, Ankara City Hospital, Turkey.
Antonios KoudonasFirst Department of Urology, School of Medicine, Aristotle University of Thessaloniki, Greece.
Ahmet Halil SevincDepartment of Urology, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ureteral stenting is not routinely recommended, but it may be performed before or after retrograde intrarenal surgery (RIRS). We aimed to investigate the effect of preoperative ureteral stenting on the success rate and intraoperative, postoperative, and infectious complications in RIRS. Material and methods: We retrospectively analysed the data of 581 patients who underwent RIRS. Demographic data, stone characteristics, presence of hydronephrosis, presence of congenital kidney anomaly and solitary kidney, duration of operation, and duration of hospitalisation were analysed. Intraoperative, postoperative, and infectious complications and the success rate of all operations were recorded. The patients were divided into 2 groups as prestented and non-prestented and matched in terms of age, sex, stone size, and number of stones. Ninety-four patients in the prestented group were matched with 282 patients in the non-prestented group with respect to age, sex, stone size, and number of stones (matched 1:3). Results: The 2 groups were similar in terms of matching parameters and all other characteristics. After matching, the success rate was 77.7% (73/94) in the prestented group and 78% (220/282) in the non--prestented group, and there was no statistically significant difference between the 2 groups (p = 0.943). The intraoperative complication rate was statistically significantly higher in the non-prestented group (19.2% vs 28.7%, p = 0.046). Postoperative complications occurred in 22.3% of patients in the prestented group and 20.7% of patients in the non-prestented group (p = 0.429). Conclusions: Preoperative ureteral stenting in RIRS was not associated with the success rate or postoperative and infectious complications. However, preoperative stenting was effective in decreasing only grade 1 intraoperative complications.

Indexed as

complicationpreoperative ureteral stentingRIRSsuccess

Identifiers

PMID40313695
PMCPMC12042397

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