©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery
Yıl: 2022 Cilt: 9 Sayı: 1 Sayfa Aralığı: 40 - 46 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2021.2021.0092 İndeks Tarihi: 09-06-2022
©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery
Öz: Objective: Residual stone fragments remain a challenging topic for urologists following retrograde intrarenal surgery (RIRS). This study aimed to
investigate the effectiveness of second-look flexible ureteroscopy (URS) to achieve a true stone-free status and decrease stone-related events.
Materials and Methods: The study included 176 consecutive patients treated with RIRS for kidney stones between October 2013 and December
2017. Patients were divided into two groups. Group 1 included patients who underwent only one session of RIRS (n=51) and group 2 included
patients who undergo a second-look flexible URS after RIRS (n=125). Both groups were compared for stone-free rates and potential risk factors
associated with stone-related events. Stone-related events were defined as urinary infection, renal colic, stone enlargement, and any additional
intervention with shock wave lithotripsy or reoperation.
Results: Stone-free rate after RIRS for groups 1 and 2 were 37.25% (n=19/51) and 40.8% (n=51/125), respectively. The stone-free rates improved to
93.6% (n=117/125) in group 2 after the second-look flexible URS. The multivariable analysis revealed that type of intervention, stone size, and body
mass index were independent prognostic factors for stone-related events. When group 2 was taken as a reference, the odds ratio for stone-related
events was 8.48 (95% confidence interval: 2.95-24.42) in group 1.
Conclusion: Second-look flexible ureterorenoscopy increased the stone-free rates and diminished the number of stone-related events. We argue
that performing second-look flexible ureterorenoscopy in the early period following RIRS in the presence or suspicion of residual stone fragments
provides better treatment result
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ÖZDEN CEBECİ O, ÖZKAN T, YALÇIN M, DİLLİOĞLUGİL Ö, ÇEVİK İ (2022). ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. , 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| Chicago | ÖZDEN CEBECİ Oğuz,ÖZKAN Tayyar Alp,YALÇIN Mustafa Savaş,DİLLİOĞLUGİL Özdal,ÇEVİK İbrahim ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. (2022): 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| MLA | ÖZDEN CEBECİ Oğuz,ÖZKAN Tayyar Alp,YALÇIN Mustafa Savaş,DİLLİOĞLUGİL Özdal,ÇEVİK İbrahim ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. , 2022, ss.40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| AMA | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. . 2022; 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| Vancouver | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. . 2022; 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| IEEE | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ "©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery." , ss.40 - 46, 2022. 10.4274/jus.galenos.2021.2021.0092 |
| ISNAD | ÖZDEN CEBECİ, Oğuz vd. "©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery". (2022), 40-46. https://doi.org/10.4274/jus.galenos.2021.2021.0092 |
| APA | ÖZDEN CEBECİ O, ÖZKAN T, YALÇIN M, DİLLİOĞLUGİL Ö, ÇEVİK İ (2022). ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. Journal of Urological Surgery, 9(1), 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| Chicago | ÖZDEN CEBECİ Oğuz,ÖZKAN Tayyar Alp,YALÇIN Mustafa Savaş,DİLLİOĞLUGİL Özdal,ÇEVİK İbrahim ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. Journal of Urological Surgery 9, no.1 (2022): 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| MLA | ÖZDEN CEBECİ Oğuz,ÖZKAN Tayyar Alp,YALÇIN Mustafa Savaş,DİLLİOĞLUGİL Özdal,ÇEVİK İbrahim ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. Journal of Urological Surgery, vol.9, no.1, 2022, ss.40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| AMA | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. Journal of Urological Surgery. 2022; 9(1): 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| Vancouver | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ ©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery. Journal of Urological Surgery. 2022; 9(1): 40 - 46. 10.4274/jus.galenos.2021.2021.0092 |
| IEEE | ÖZDEN CEBECİ O,ÖZKAN T,YALÇIN M,DİLLİOĞLUGİL Ö,ÇEVİK İ "©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery." Journal of Urological Surgery, 9, ss.40 - 46, 2022. 10.4274/jus.galenos.2021.2021.0092 |
| ISNAD | ÖZDEN CEBECİ, Oğuz vd. "©Copyright 2022 by the Association of Urological Surgery / Journal of Urological Surgery published by Galenos Publishing House.40 Effectiveness of Second-look Flexible Ureteroscopy to Achieve A True Stone-Free Status in Retrograde Intrarenal Surgery". Journal of Urological Surgery 9/1 (2022), 40-46. https://doi.org/10.4274/jus.galenos.2021.2021.0092 |
