| Yazarlar |
Dr. Öğr. Üyesi Mehmet USLU
Kafkas Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Ümit YILDIRIM
Kafkas Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Mehmet EZER
Kafkas Üniversitesi, Türkiye |
Dr. Öğr. Üyesi İsmet Bilger ERİHAN
Kafkas Üniversitesi, Türkiye |
Kemal Sarıca
Sağlık Bilimleri Üniversitesi, Türkiye |
| Özet |
| Given the limited data on the predictive factors of residual kidney stone size after flexible ureteroscopy (fURS), this study aims to investigate the variables affecting residual stone size. The medical records of 642 patients without complications being treated for kidney stones with fURS between July 2014 and May 2022 were reviewed retrospectively, and the information of the 170 patients in whom residual stones were found was recorded. In addition to patient-specific factors and stone characteristics, length of postoperative hospital stay, postoperative fever, and preoperative antiaggregant use were evaluated. Of the 170 patients ultimately included in the study. The mean age was 51.56 (± 14.70). The mean stone size was 14.01 mm (± 5.75), the mean residual stone size was 7.04 mm (± 2.51), and the mean stone density was 829 Hounsfield units (± 395.06). The mean infundibulopelvic angle (IPA) was 49.37º (± 15.37), and 41.2% of the stones were non-opaque. The mean parenchymal thickness was 22.88 mm (± 5.55). 34 patients were on antiaggregant therapy. Preoperative stone size increases in stone density and decreases in IPA were found to be correlated with increase residual stone size (p < 0.001, p < 0.001, and p < 0.001, respectively). In addition, larger residual stones were observed after the fURS procedure in patients using anticoagulants and those without hydronephrosis (p = 0.02 and p = 0.016, respectively). Use of reliable predictive factors to forecast residual stone size after fURS may help to inform those treated and enable urologists to design rational surgical strategies. |
| Anahtar Kelimeler |
| Flexible | Residual | Retrograde | Size | Stone |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | Springer Science and Business Media LLC |
| Dergi ISSN | 2194-7228 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q2 |
| Makale Dili | Türkçe |
| Basım Tarihi | 08-2023 |
| Cilt No | 51 |
| Sayfalar | 100 / |
| Doi Numarası | 10.1007/s00240-023-01478-8 |
| Makale Linki | http://dx.doi.org/10.1007/s00240-023-01478-8 |
| Atıf Sayıları | |
| Google Scholar | 1 |
