Abstract
Introduction: We aimed to evaluate the predictive factors in a holistic manner for ureterorenoscopy (URS) outcomes in proximal ureteral stones by a multicenter study. Materials and Methods: The data of patients who underwent URS for proximal ureteral stones between the years 2015 and 2018 in eight centers were recorded retrospectively. Patients were divided into two groups according to URS success: Group 1 consisted of patients with successful URS, and Group 2 consisted of patients with unsuccessful URS. The two groups were compared in terms of risk factors, stone, and clinical characteristics of patients. Results: A total of 638 patients were included in the study. Group 1 consisted of 527 (82.6%) patients, and Group 2 consisted of 111 (17.4%) patients. In multivariate logistic analysis, the key risk factors for URS success was found to be age (OR = 0.980, 95% [CI] = 0.963–0.996, p = 0.018), stone area (OR = 0.993, 95% [CI] = 0.989–0.997, p = 0.002), and operation time (OR = 0.981, 95% [CI] = 0.968–0.994, p = 0.005). Conclusions: To make the treatment decision of proximal ureteral stones, it is necessary to examine several parameters including available equipment, stone, and patient characteristics. Physicians should keep these risk factors in mind in the decision of treatment options.
References
1.
Trinchieri
A
. Epidemiology of urolithiasis
. Arch Ital Urol Androl
. 1996
Sep
;68
(4
):203
–49
.
[PubMed]
1124-35622.
Kim
H
, Jo
MK
, Kwak
C
, Park
SK
, Yoo
KY
, Kang
D
, et al. Prevalence and epidemiologic characteristics of urolithiasis in Seoul, Korea
. Urology
. 2002
Apr
;59
(4
):517
–21
.
[PubMed]
0090-42953.
Soueidan
M
, Bartlett
SJ
, Noureldin
YA
, Andersen
RE
, Andonian
S
. Leisure time physical activity, smoking and risk of recent symptomatic urolithiasis: survey of stone clinic patients
. Can Urol Assoc J
. 2015
Jul-Aug
;9
(7-8
):257
–62
.
[PubMed]
1911-64704.
Ordon
M
, Urbach
D
, Mamdani
M
, Saskin
R
, Honey
RJ
, Pace
KT
. A population based study of the changing demographics of patients undergoing definitive treatment for kidney stone disease
. J Urol
. 2015
Mar
;193
(3
):869
–74
.
[PubMed]
0022-53475.
Akinci
M
, Esen
T
, Tellaloğlu
S
. Urinary stone disease in Turkey: an updated epidemiological study
. Eur Urol
. 1991
;20
(3
):200
–3
.
[PubMed]
0302-28386.
Zumstein
V
, Betschart
P
, Abt
D
, Schmid
HP
, Panje
CM
, Putora
PM
. Surgical management of urolithiasis - a systematic analysis of available guidelines
. BMC Urol
. 2018
Apr
;18
(1
):25
.
[PubMed]
1471-24907.
Sen
V
, Imamoglu
C
, Kucukturkmen
I
, Degirmenci
T
, Bozkurt
IH
, Yonguc
T
, et al. Can Doppler ultrasonography twinkling artifact be used as an alternative imaging modality to non-contrast-enhanced computed tomography in patients with ureteral stones? A prospective clinical study
. Urolithiasis
. 2017
Apr
;45
(2
):215
–9
.
[PubMed]
2194-72288.
Degirmenci
T
, Gunlusoy
B
, Kozacioglu
Z
, Arslan
M
, Koras
O
, Arslan
B
, et al. Comparison of Ho:YAG laser and pneumatic lithotripsy in the treatment of impacted ureteral stones: an analysis of risk factors
. Kaohsiung J Med Sci
. 2014
Mar
;30
(3
):153
–8
.
[PubMed]
1607-551X9.
Degirmenci
T
, Gunlusoy
B
, Kozacioglu
Z
, Arslan
M
, Kara
C
, Koras
O
, et al. Outcomes of ureteroscopy for the management of impacted ureteral calculi with different localizations
. Urology
. 2012
Oct
;80
(4
):811
–5
.
[PubMed]
0090-429510.
Mandal
S
, Goel
A
, Singh
MK
, Kathpalia
R
, Nagathan
DS
, Sankhwar
SN
, et al. Clavien classification of semirigid ureteroscopy complications: a prospective study
. Urology
. 2012
Nov
;80
(5
):995
–1001
.
[PubMed]
0090-429511.
Sancak
EB
, Kılınç
MF
, Yücebaş
SC
. Evaluation with Decision Trees of Efficacy and Safety of Semirigid Ureteroscopy in the Treatment of Proximal Ureteral Calculi
. Urol Int
. 2017
;99
(3
):320
–5
.
[PubMed]
0042-113812.
Öğreden
E
, Oğuz
U
, Demirelli
E
, Benli
E
, Sancak
EB
, Gülpinar
MT
, et al. Categorization of ureteroscopy complications and investigation of associated factors by using the modified Clavien classification system
. Turk J Med Sci
. 2016
Apr
;46
(3
):686
–94
.
[PubMed]
1300-014413.
Bapat
SS
, Pai
KV
, Purnapatre
SS
, Yadav
PB
, Padye
AS
. Comparison of holmium laser and pneumatic lithotripsy in managing upper-ureteral stones
. J Endourol
. 2007
Dec
;21
(12
):1425
–7
.
[PubMed]
0892-779014.
Ilker
Y
, Ozgür
A
, Yazici
C
. Treatment of ureteral stones using Holmium:YAG laser
. Int Urol Nephrol
. 2005
;37
(1
):31
–4
.
[PubMed]
0301-162315.
Kassem
A
, Elfayoumy
H
, Elsaied
W
, Elgammal
M
, Bedair
A
. Laser and pneumatic lithotripsy in the endoscopic management of large ureteric stones: a comparative study
. Urol Int
. 2012
;88
(3
):311
–5
.
[PubMed]
0042-113816.
Gunlusoy
B
, Degirmenci
T
, Kozacioglu
Z
, Arslan
M
, Ceylan
Y
, Nergiz
N
, et al. Factors affecting the complications of pneumatic lithotripsy for the treatment of ureteral stones with different localizations: a multivariate analysis of complications
. Urol Int
. 2013
;91
(3
):357
–62
.
[PubMed]
0042-113817.
Ciftci
H
, Savas
M
, Altunkol
A
, Yeni
E
, Verit
A
, Celepkolu
B
. Influence of stone size, location and impaction on the success of ureteroscopic pneumolithotripsy
. Georgian Med News
. 2010
Jun
;(183
):7
–12
.
[PubMed]
1512-011218.
Cheung
MC
, Lee
F
, Yip
SK
, Tam
PC
. Outpatient holmium laser lithotripsy using semirigid ureteroscope. Is the treatment outcome affected by stone load?
Eur Urol
. 2001
Jun
;39
(6
):702
–8
.
[PubMed]
0302-283819.
Chen
CS
, Wu
CF
, Shee
JJ
, Lin
WY
. Holmium:YAG Lasertripsy with semirigid ureterorenoscope for upper-ureteral stones [{GT}]2 cm
. J Endourol
. 2005
Sep
;19
(7
):780
–4
.
[PubMed]
0892-779020.
Seitz
C
, Tanovic
E
, Kikic
Z
, Fajkovic
H
. Impact of stone size, location, composition, impaction, and hydronephrosis on the efficacy of holmium:YAG-laser ureterolithotripsy
. Eur Urol
. 2007
Dec
;52
(6
):1751
–7
.
[PubMed]
0302-283821.
Tuğcu
V
, Taşci
AI
, Ozbek
E
, Aras
B
, Verim
L
, Gürkan
L
. Does stone dimension affect the effectiveness of ureteroscopic lithotripsy in distal ureteral stones?
Int Urol Nephrol
. 2008
;40
(2
):269
–75
.
[PubMed]
0301-162322.
Amasyali
SA
, Ertek
MS
, Ture
M
, Erol
H
. The Effect of Preoperative and Intraoperative Clinical Findings on Success of Endoscopic Management of Ureteral Stone
. Dicle Medical Journal
. 2016
;43
:285
–9
.23.
Stein
J
, Weinberg
SR
. A histologic study of the normal and dilated ureter
. J Urol
. 1962
Jan
;87
(1
):33
–8
.
[PubMed]
0022-534724.
Legemate
JD
, Wijnstok
NJ
, Matsuda
T
, Strijbos
W
, Erdogru
T
, Roth
B
, et al. Characteristics and outcomes of ureteroscopic treatment in 2650 patients with impacted ureteral stones
. World J Urol
. 2017
Oct
;35
(10
):1497
–506
.
[PubMed]
0724-4983© 2019 S. Karger AG, Basel
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