ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2025
Risk factors and prediction model for stone mucosa adhesion before retrograde intrarenal surgery.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionPreoperative assessment of ureteral adhesions related to stones is crucial for choosing the right surgical approach.
aimThis study aimed to evaluate clinically significant factors for predicting the development of adhesions between the calculus and the mucosa in patients with ureteral stones undergoing retrograde intrarenal surgery. MATERIALS AND
methodsThe study included 173 patients. Ureteroscopy was performed to accurately identify the presence of adhesions between the calculus and the mucosa. Univariate and multivariable logistic regression analyses were performed to identify independent factors predicting adhesions. An alignment diagram model was developed utilizing the independent factors identified. Discrimination and calibration of the model were evaluated via the receiver operating characteristic curve and further examined via calibration curves, decision curve analysis, and cumulative intervention curves.
resultAdhesions between the calculus and the mucosa were confirmed on ureteroscopy in 48 patients (27.7%). Multivariable logistic regression analyses showed that ureteral wall thickness (UWT), hydronephrosis severity, perirenal fat stranding (PFS), and pain intensity were independent risk predictors of adhesions (
conclusionUWT, PFS, hydronephrosis severity, and pain intensity are independent risk factors for the development of adhesions between the calculus and the mucosa. Our predictive model exhibited outstanding performance, and it may help clinicians choose the most appropriate surgical method.
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