Ureteral Stricture Outcomes Using Small Ureteral Access Sheath During Retrograde Intrarenal Surgery
Objective: This study evaluated ureteral injury and long-term stricture progression after the smallest ureteral access sheath (UAS) application during retrograde intrarenal surgery. Materials and Methods: A total of 154 patients who had undergone retrograde intrarenal surgery procedures and applied...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2023-12-01
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| Series: | Journal of Urological Surgery |
| Subjects: | |
| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/ureteral-stricture-outcomes-using-small-ureteral-a/61289
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| Summary: | Objective: This study evaluated ureteral injury and long-term stricture progression after the smallest ureteral access sheath (UAS) application during retrograde intrarenal surgery. Materials and Methods: A total of 154 patients who had undergone retrograde intrarenal surgery procedures and applied a 9.5/11.5-F UAS for kidney stones between September 2016 and March 2019 were prospectively included, and intraoperative, postoperative, and late complications were evaluated. Ureteral injuries were visualized using flexible and semi-rigid ureterorenoscopy, and ureteral stricture was assessed by computed tomographic urography at one-year controls. Results: 56% (n=86) of the patients were males, and %45 (n=68) the mean age was 47±15 years, stone size was 17.1±8 mm, operative time was 56±23 minutes, 80% had ureter wall injury, and 39% and 41% had grade 0 and grade 1 lesions, respectively. Minor complications were developed in 3%, and major complications were seen in 2% of cases. The ureteral stricture was not observed in 1st-year controls. Conclusion: The routine application of 9.5/11.5-F UAS is safe to use in flexible ureteroscopy without any long-term adverse effects. |
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| ISSN: | 2148-9580 |