Efficiency of retrograde intrarenal surgery in lower pole stones: disposable flexible ureterorenoscope or reusable flexible ureterorenoscope?

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dc.contributor.authorGoger, Yunus Emre
dc.contributor.authorOzkent, Mehmet Serkan
dc.contributor.authorKilinc, Muzaffer Tansel
dc.contributor.authorTaskapu, Hakan Hakki
dc.contributor.authorGoger, Esra
dc.contributor.authorAydin, Arif
dc.contributor.authorSonmez, Mehmet Giray
dc.date.accessioned2024-02-23T13:43:44Z
dc.date.available2024-02-23T13:43:44Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractPurpose The primary aim of this study to comparison of reusable and disposable flexible ureterorenoscope (fURS) efficiency in lower pole renal stone disease management. In addition, the secondary goal of this study was to evaluate the factors affecting stone-free rates (SFR) in lower pole stones. Materials and methods A prospective case-control study utilizing data from 122 consecutive ureteroscopic cases. The patients were divided into two groups according to the ureterorenoscope employed in the surgical intervention as disposable fURS (Group1, n:52) and reusable fURS (Group 2, n:70). Demographic characteristics, stone size, infundibulopelvic angle (IPA), SFR, hospitalization time, intraoperative complication rate (CR), operative time, preoperative or postoperative JJ stenting, and postoperative CR were analyzed. Results There was no statistical difference between the demographic and renal stone-related data between the groups. Likewise, no difference is observed in term of intraoperative and postoperative outcomes such as fluoroscopy time, CR, and hospitalization time between the groups. Although SFR was higher in the disposable fURS group, there was no difference statistically. However, the operative time was longer in reusable fURS Group (47.02 +/- 9.91 min in Group 1, and it was 57.97 +/- 14.28 in Group 2) (p: 0.001). The multivariate regression analysis result to evaluate the factors of effect to operative time; the use of disposable fURS was associated with a 10.95-min decrease in procedure duration (p < 0.001). Conclusions Disposable fURS and reusable fURS have similar clinical efficiency and complication rates in the treatment of lower calyceal stones with RIRS. Nevertheless, disposable fURS is a useful treatment option for increased stone volume due to the advantages such as shorter operative time.en_US
dc.identifier.doi10.1007/s00345-021-03656-y
dc.identifier.endpage3650en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue9en_US
dc.identifier.pmid33738574en_US
dc.identifier.scopus2-s2.0-85103061215en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3643en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-021-03656-y
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10901
dc.identifier.volume39en_US
dc.identifier.wosWOS:000630258200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRetrograde Intrarenal Surgeryen_US
dc.subjectDisposable Flexible Ureterorenoscopeen_US
dc.subjectReusable Flexible Ureterorenoscopeen_US
dc.subjectStone Diseaseen_US
dc.subjectUrolithiasisen_US
dc.titleEfficiency of retrograde intrarenal surgery in lower pole stones: disposable flexible ureterorenoscope or reusable flexible ureterorenoscope?en_US
dc.typeArticleen_US

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