| Yazarlar |
Halük Söylemez
Türkiye |
|
Kadir Yıldırım
Malatya Turgut Özal Üniversitesi, Türkiye |
|
Mehmet Mazhar Utanğaç
Türkiye |
|
Tahsin Batuhan Aydoğan
Türkiye |
Dr. Öğr. Üyesi Mehmet EZER
Türkiye |
|
Murat Atar
Türkiye |
| Özet |
| Objective: To investigate the effectivity of 4.5F ultrathin ureteroscope (UT-URS) without any need for active or passive dilation in the treatment of adult patient population in whom ureteral orifices cannot be engaged using conventional URS. Materials and Methods: Among a total of 512 adult patients who had undergone URS between April 2012 and November 2015 in our department for diagnostic or therapeutic purposes, 43 (8.4%) patients required ureteral dilation because we could not engage ureteral orifice. In adult patients in whom we could not engage ureteral orifice with 7.5F and 8F semirigid URS, we tried to complete the operation using 4.5F UT-URS without resorting to dilation. Age and gender of the patients, indication for operation, stone size, location, operative times, laterality of stone(s), stone-free rates, length of hospital stay, and complications were recorded. Results: Mean age of the patients was 34.5 ± 11.2 (21-66) years. The patients had undergone operations for ureteral stone (n = 39), unexplained hydronephrosis (n = 2), and ureteral stenosis (n = 2). Mean stone size was 8.2 ± 2.3 (4-18) mm. Mean operative time was 64.2 ± 13.5 minutes. In 37 of 39 patients, a complete stone-free rate (94.8%) was achieved. Mean length of hospital stay was 8.9 ± 5.8 hours. Conclusion: It has been demonstrated that in an adult patient population in whom ureteral orifices cannot be engaged using conventional URS, ureteral access could be achieved with 4.5F UT-URS without any need for dilation. At the same time, use of 4.5F UT-URS resulted in an acceptable treatment success and lower complication rates in most of these patients without the need for a second session. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | JOURNAL OF ENDOUROLOGY |
| Dergi ISSN | 0892-7790 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | Türkçe |
| Basım Tarihi | 06-2016 |
| Cilt No | 30 |
| Sayı | 6 |
| Sayfalar | 650 / 654 |
| Doi Numarası | 10.1089/end.2016.0118 |
| Makale Linki | http://dx.doi.org/10.1089/end.2016.0118 |
| Atıf Sayıları | |
| WoS | 11 |
| SCOPUS | 12 |
| Google Scholar | 20 |
