The impact of preoperative ureteral stent duration on retrograde intrarenal surgery results: a RIRSearch group study.

Autor: Şahin MF; Department of Urology, Tekirdag Namık Kemal University, Tekirdag, Türkiye. mfatihsahin@gmail.com., Akgül M; Ümraniye Tranining and Research Hospital, İstanbul, Türkiye., Çakır H; Fulya Acıbadem Hospital, Urology Clinic, İstanbul, Türkiye., Özman O; Memorial Healthcare Group, Urology Clinic, Istanbul, Türkiye., Başataç C; Group Florence Nightingale Hospitals, Department of Urology, İstanbul, Türkiye., Çınar Ö; Medicana International, Urology Clinic, Samsun, Türkiye., Sıddıkoğlu D; Department of Biostatistics, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye., Teke K; Department of Urology, Kocaeli University, Kocaeli, Türkiye., Şimşekoğlu MF; Cerrahpaşa Faculty of Medicine, Department of Urology, İstanbul, Türkiye., Yazıcı CM; Department of Urology, Tekirdag Namık Kemal University, Tekirdag, Türkiye., Sancak EB; Department of Urology, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye., Başeskioğlu B; Uroloji Eskisehir, Urology Clinic, Eskisehir, Türkiye., Akpınar H; Group Florence Nightingale Hospitals, Department of Urology, İstanbul, Türkiye., Önal B; Cerrahpaşa Faculty of Medicine, Department of Urology, İstanbul, Türkiye.
Jazyk: angličtina
Zdroj: Urolithiasis [Urolithiasis] 2024 Aug 28; Vol. 52 (1), pp. 123. Date of Electronic Publication: 2024 Aug 28.
DOI: 10.1007/s00240-024-01620-0
Abstrakt: A JJ stent placed before retrograde intrarenal surgery (RIRS) may ease the procedure. However, it is important to note that a prolonged duration of double J stent (DJS) placement before RIRS may increase the risk of postoperative urinary tract infection (UTI). Various publications have established this association, although the duration of the DJS before surgery is scarce. Our study investigates the relationship between the pre-stenting period and postoperative UTI and establishes a cut-off period to minimize this risk. We included a total of 500 cases with preoperative DJS prior to RIRS. The patients were divided into five groups according to their preoperative stenting duration (Group 1: 0-15 days; Group 2: 16-30 days; Group 3: 31-45 days; Group 4: 46-60 days; Group 5: >60 days). Demographic and clinical data of the patients, stone properties, operation data, perioperative and postoperative complications (including fever and UTI), hospitalization time, and stone-free rates (SFR) were compared. The groups contained 53, 124, 102, 63, and 158 patients. The demographics of the patients in each group were similar. There was no statistically significant difference between DJS duration, perioperative/postoperative complications, and SFR, except for the ureteral access sheath (UAS) insertion rate. (p = 0.001). The postoperative fever/UTI rate was the lowest in Group 1 (p = 0.046) compared to other durations. Stent duration does not impact SFR. Longer stents enhance UAS insertion success but increase postoperative infection risk. Our results suggest that RIRS should be performed within two weeks, ideally 20 days following stent insertion, to minimize postoperative infection risk.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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