A Comparative Study of Flexible Navigable Vacuum-Assisted Ureteral Access Sheath and Traditional Ureteral Access Sheath in Retrograde Intrarenal Surgery: Evaluating the Impact of Hydronephrosis on Stone-Free Rate and Complications
Yazarlar (10)
Özgür Arıkan Türkiye
Erhan Erdoğan Türkiye
Mehmet Erhan Aydın
Türkiye
Türkiye
Ferhat Yakup Suçeken Türkiye
Doç. Dr. Mehmet USLU Kafkas Üniversitesi, Türkiye
Ayberk İplikçi
Emre Burak Şahinler
Cahit Şahin Türkiye
Asıf Yıldırım Türkiye
Kemal Sarıca Türkiye
| Makale Türü | Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | JOURNAL OF ENDOUROLOGY (Q2) | ||
| Dergi ISSN | 0892-7790 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | Türkçe | Basım Tarihi | 07-2025 |
| Cilt / Sayı / Sayfa | 39 / 7 / 646–651 | DOI | 10.1089/end.2024.0921 |
| Makale Linki | https://doi.org/10.1089/end.2024.0921 | ||
| Özet |
| Retrograde intrarenal surgery (RIRS) is a widely used minimally invasive technique for renal stone management. Recently, flexible navigable vacuum-assisted ureteral access sheaths (FV-UASs) have been introduced to enhance RIRS outcomes. This study aimed to evaluate the efficacy of FV-UAS compared with traditional UAS (T-UAS) in RIRS, with a specific focus on the impact of hydronephrosis. A retrospective multicenter study was conducted involving 207 patients undergoing RIRS for renal stones. Patients were divided into two groups based on the type of UAS used: FV-UAS ( = 105) or T-UAS ( = 102). Demographic data, stone characteristics, operative time, complications, and stone-free rates (SFRs) were analyzed. The degree of hydronephrosis was assessed using the Society of Fetal Urology grading system. The FV-UAS group demonstrated significantly shorter operative times (median: 50 minutes 57.5 minutes, = 0.039) and a higher SFR at 1-week postoperatively (47.6% 23.5%, < 0.001) compared with the T-UAS group. However, there was no significant difference in SFR at 1 month (75.2% 68.6%, = 0.290). Postoperative fever was significantly lower in the FV-UAS group (3.8% 18.6%, = 0.001). Importantly, the degree of hydronephrosis did not significantly impact the outcomes that performed RIRS with FV-UAS. FV-UAS offers potential advantages over T-UAS in RIRS, including shorter operative times, improved early stone-free status, and reduced postoperative complications. Hydronephrosis did not appear to affect the efficacy of FV-UAS. These findings suggest that FV-UAS may be a valuable tool in optimizing RIRS outcomes. |
| Anahtar Kelimeler |
| hydronephrosis | retrograde intrarenal surgery | stone-free rate | vacuum-assisted ureteral access sheath |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| WoS | 2 |