Evidence map›Paper›PMID 41703526›Full record

ArticleBMC urology2026

Impact of diabetes mellitus on stone access and surgical outcomes in patients undergoing ureteroscopic lithotripsy: a retrospective cohort study.

Emrah Küçük, Haydar Güler, Reha Ordulu, Mustafa Aydın, Uğur Öztürk, Mustafa Koray Kırdağ, Işıl Ünaldı, Mustafa Kemal Atilla

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Article in BMC urology, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Emrah KüçükDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey. emrah.kucuk@samsun.edu.tr.
Haydar GülerDepartment of Urology, Kanuni Sultan Suleiman Training and Research Hospital, Istanbul, Turkey.
Reha OrduluDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey.
Mustafa AydınDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey.
Uğur ÖztürkDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey.
Mustafa Koray KırdağDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey.
Işıl ÜnaldıDepartment of Biostatistics and Medical Informatics, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Mustafa Kemal AtillaDepartment of Urology, University of Samsun, Samsun Training and Research Hospital, Samsun, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the independent effect of diabetes mellitus (DM) on ureteral stone access and surgical outcomes in patients undergoing ureteroscopic lithotripsy (URS). MATERIALS AND

methodsBetween February 2024 and August 2024, 149 patients were included in the study: 50 with DM (Group 1) and 99 without DM (Group 2). Patients aged 18 to 80 years who were scheduled for surgery for ureteral calculi in our hospital were included in the study. Patients with any systemic disease other than DM, patients with previous surgery for kidney stones or ureteral calculi, patients undergoing diagnostic URS, pregnant women, patients with oncologic diseases, and patients with one kidney were excluded.

resultsThere were statistically significant differences between the groups in age, height, BMI, and stone volume (p<0.001, p<0.001, p=0.004, p=0.004, respectively). The rate of successful scope passage to the stone was significantly lower in patients with diabetes mellitus compared to non-diabetic patients (58.0% vs. 85.9%, p<0.001). The stone-free rate was also significantly higher in group 2 (p=0.033). Patients with DM had a significantly lower likelihood of successful scope passage to the stone, indicating a substantial and statistically significant contribution of this variable to the model (p<0.001).

conclusionDiabetes mellitus was associated with a lower rate of successful scope passage to the stone during ureteroscopic lithotripsy, and this association persisted after multivariable adjustment. However, due to the retrospective design and limited sample size, these findings require confirmation in larger prospective studies.

Indexed as

Diabetes ComplicationsDiabetes MellitusLithotripsyUreteral CalculiUreteroscopyAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeDiabetes mellitusSuccessful scope passage to the stoneUreteroscopic lithotripsy

Identifiers

PMID41703526
PMCPMC13014832

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.