The use of a ureteral access sheath does not improve stone-free rate after ureteroscopy for upper urinary tract stones View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-02

AUTHORS

Gaetan Berquet, Paul Prunel, Grégory Verhoest, Romain Mathieu, Karim Bensalah

ABSTRACT

PURPOSE: To evaluate the impact of a ureteral access sheath (UAS) on stone-free (SF) rate after flexible ureteroscopy for upper urinary tract stones. MATERIALS AND METHODS: We retrospectively reviewed 280 patients who underwent flexible ureteroscopy (URS) for upper urinary tract stone between 2009 and 2012. Patients were divided into two groups based on whether a UAS was used (n = 157) or not (n = 123). SF rate was evaluated at one and three months after surgery by abdominal imaging. Quantitative and qualitative variables were compared with Student's t test and χ2 test, respectively. A logistic regression model was used to determine the predictive factors of SF status. RESULTS: Stone size was similar in both groups (15.1 vs. 13.7 mm, p = 0.21). SF rates at one and 3 months were comparable in UAS and non-UAS groups (76 vs. 78% and 86 vs. 87%, p = 0.88 and 0.89, respectively). Complication rates were similar in both groups (12.7 vs. 12.1%, p = 0.78). In multivariable analysis, stone size was the only predictive factor of SF rate (p = 0.016). CONCLUSION: The routine use of a UAS did not improve SF rate in patients undergoing flexible URS for upper urinary tract calculi. More... »

PAGES

229-232

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-013-1181-5

DOI

http://dx.doi.org/10.1007/s00345-013-1181-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1045741418

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24166287


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