Identifying Patients Who are Suitable for Stentless Ureteroscopy Following Treatment of Urolithiasis
| Autor: | Gary J. Faerber, Brian D. Seifman, J. Stuart Wolf, Timothy G. Schuster, Brent K. Hollenbeck |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Urology Urinary system medicine.medical_treatment Postoperative complication Stent Context (language use) law.invention Endoscopy Surgery Ureter medicine.anatomical_structure Randomized controlled trial law Medicine Ureteroscopy business |
| Zdroj: | Journal of Urology. 170:103-106 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | Purpose: Foregoing ureteral stents following ureteroscopy for urinary calculi is an evolving practice. Randomized trials support stent omission in select cases though generalizeability is unclear and criteria for stentless ureteroscopy are unknown. Therefore, we sought to identify significant clinical characteristics affecting postoperative morbidity in unstented patients to provide a context for future randomized trials.Materials and Methods: Of 837 ureteroscopic procedures for urolithiasis performed at our institution from January 1997 through January 2002 a ureteral stent was not placed in 226 (32%). Among these patients 47 had no stone at the time of the procedure leaving 219 (26%) who were treated for urinary calculus disease. Multivariate logistic regression was used to determine the association of 24 variables with postoperative morbidity.Results: Of the 219 patients treated with ureteroscopy 39 (18%) had a postoperative complication, which was obstructive in 26 (12%), infectious in 10 (5%)... |
| Databáze: | OpenAIRE |
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