Retrograde intrarenal surgery of renal stones: a critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study)

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dc.contributor.authorGuven, Selcuk
dc.contributor.authorYigit, Pakize
dc.contributor.authorTuncel, Altug
dc.contributor.authorKarabulut, Ibrahim
dc.contributor.authorSahin, Selcuk
dc.contributor.authorKilic, Ozcan
dc.contributor.authorBalasar, Mehmet
dc.date.accessioned2024-02-23T13:43:44Z
dc.date.available2024-02-23T13:43:44Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractAims To outline and evaluate the incidence, management and follow-up of the residual fragments (RFs) following retrograde intrarenal surgery (RIRS) of renal stones by the Turkish Academy of Urology Prospective Study Group (ACUP Study). Methods Following the ethical committee approval, 15 centers providing data regarding the incidence, management, and follow-up of RFs after RIRS were included and all relevant information was recorded into the same electronic database program () created by Turkish Urology Academy for Residual Stone Study. Results A total of 1112 cases underwent RIRS for renal calculi and RFs were observed in 276 cases (24.8%). Of all the parameters evaluated, our results demonstrated no statistically significant relation between preoperative DJ stenting and the presence of RFs (chi 2 (1) = 158.418; p = 0.099). RFs were significantly higher in patients treated with UAS (82 patients, 29.3%) during the procedure compared to the cases who did not receive UAS (194 patients, 23.3%) (chi 2 (1) = 3.999; p = 0.046). The mean period for a secondary intervention after RIRS was 28.39 (+/- 12.52) days. Regarding the procedures applied for RF removal, re-RIRS was the most commonly performed approach (56%). Conclusions Despite the reported safe and successful outcomes, the incidence of RFs is higher, after the RIRS procedure particularly in cases with relatively larger calculi. Such cases need to be followed in a close manner and although a second flexible ureteroscopy is the treatment of choice for fragment removal in the majority of these patients, shock wave lithotripsy and percutaneous nephrolithotomy may also be preferred in selected cases.en_US
dc.description.sponsorshipTurkish Association of Urologyen_US
dc.description.sponsorshipThe authors gratefully acknowledge the financial support from the Turkish Association of Urology and thank Prof Dr. Ates Kadioglu, the coordinator of the Turkish Academy of Urology, for his valuable support during the study period.en_US
dc.identifier.doi10.1007/s00345-020-03210-2
dc.identifier.endpage554en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue2en_US
dc.identifier.pmid32347334en_US
dc.identifier.scopus2-s2.0-85083998503en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage549en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-020-03210-2
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10899
dc.identifier.volume39en_US
dc.identifier.wosWOS:000529503900001en_US
dc.identifier.wosqualityQ1en_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.subjectStone Managementen_US
dc.subjectResidual Fragmentsen_US
dc.titleRetrograde intrarenal surgery of renal stones: a critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study)en_US
dc.typeArticleen_US

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