Characteristics and outcomes of ureteroscopic treatment in 2650 patients with impacted ureteral stones

Autor: Jaap D. Legemate, Tadashi Matsuda, Judith Palacios-Ramos, Nienke J. Wijnstok, Tibet Erdogru, Jean J.M.C.H. de la Rosette, Hidefumi Kinoshita, Roberto Mario Scarpa, Willem Strijbos, Beat Roth
Přispěvatelé: APH - Personalized Medicine, APH - Quality of Care, CCA -Cancer Center Amsterdam, Urology
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Nephrology
Adult
Male
medicine.medical_specialty
Ureteral Calculi
Complications
Urology
030232 urology & nephrology
610 Medicine & health
urologic and male genital diseases
Impacted stones
Treatment outcomes
Ureter
Ureteroscopy
Urolithiasis
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Risk Factors
Internal medicine
medicine
Humans
Prospective Studies
Prospective cohort study
Intraoperative Complications
medicine.diagnostic_test
urogenital system
Impaction
business.industry
General surgery
Patient Selection
Female
Intraoperative Complications/diagnosis
Intraoperative Complications/etiology
Middle Aged
Postoperative Complications/diagnosis
Postoperative Complications/etiology
Risk Adjustment
Treatment Outcome
Ureter/pathology
Ureter/surgery
Ureteral Calculi/complications
Ureteral Calculi/diagnosis
Ureteral Calculi/surgery
Ureteral Obstruction/etiology
Ureteral Obstruction/surgery
Ureteroscopy/adverse effects
Ureteroscopy/methods
Risk adjustment
medicine.anatomical_structure
Ureter surgery
030220 oncology & carcinogenesis
Original Article
Predictive variables
business
Ureteral Obstruction
Zdroj: World journal of urology, vol. 35, no. 10, pp. 1497-1506
World Journal of Urology
World journal of urology, 35(10), 1497-1506. Springer Verlag
Legemate, Jaap D; Wijnstok, Nienke J; Matsuda, Tadashi; Strijbos, Willem; Erdogru, Tibet; Roth, Beat; Kinoshita, Hidefumi; Palacios-Ramos, Judith; Scarpa, Roberto M; de la Rosette, Jean J (2017). Characteristics and outcomes of ureteroscopic treatment in 2650 patients with impacted ureteral stones. World journal of urology, 35(10), pp. 1497-1506. Springer 10.1007/s00345-017-2028-2
ISSN: 0724-4983
Popis: Purpose To describe stone-free rates and complications of ureteroscopic treatment for impacted compared with non-impacted ureteral stones and evaluate predictive variables for impaction. Methods The Clinical Research Office of the Endourological Society prospectively collected 1 consecutive year of data from 114 centers worldwide. Patients eligible for inclusion were patients treated with ureteroscopy for ureteral stones. Patient characteristics, treatment details, and outcomes were compared with regard to stone impaction. Logistic regression analyses were conducted to explore predictive variables for ureteral stone impaction and to analyse the effect of impaction on outcomes. Results Of the 8543 treated patients, 2650 (31%) had impacted and 5893 (69%) non-impacted stones. The stone-free rate was 87.1% for impacted stones, which is lower compared with 92.7% for non-impacted stones (p 1, prior stone treatment, positive pre-operative urine culture, and larger stones showed to be predictive variables for stone impaction. Conclusions Ureteroscopic treatment for impacted stones is associated with lower stone-free rates and higher intra-operative complication rates compared with treatment for non-impacted stones. The predictive variables for the presence of stone impaction may contribute to the identification of stone impaction during the diagnostic process. Moreover, identification of stone impaction may aid the selection of the optimal treatment modality. Electronic supplementary material The online version of this article (doi:10.1007/s00345-017-2028-2) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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