Factors affecting Urethral Catheter Placement Following Flexible Ureterorenoscopy: RIRSearch Study Group
Abstract
Background/Purpose: To investigate the factors affecting UC placement following flexible ureterorenoscopy (fURS) and the effect of urethral catheter (UC) placement on patient quality of life.
Methods: The present study was performed in prospective manner from 1st January 2015 to 30th December 2023, and patients with renal stones smaller than two centimeters who underwent fURS were analyzed for study inclusion. Patients’ demographic characteristics, operative parameters, success of procedure, complications, and VAS score were recorded. Patients were categorized into two groups according to UC placement or not. These groups were compared according to preoperative parameters, intraoperative data, complications, success and VAS at postoperative 6th hour.
Results: In total, 324 patients were enrolled into the study. UC was inserted in 170 patients following fURS and was not inserted to 154 patients. In the patient group with UC placement, ratio of male patients (p= 0.002), ratio of anticoagulant use (p= 0.002), preoperative creatinine level (p=0.001), stone size (p= 0.001), stone burden (p= 0.001), and ratio of multiple stones (p= 0.001) were significantly higher. Operation time was significantly longer (p= 0.003) and intraoperative complications (p= 0.045) were significantly higher in patients with UC insertion. Need for additional analgesia and VAS score was significantly lower in patients without UC placement (p= 0.004 vs. p= 0.001). Multivariate analysis revealed that male gender, higher preoperative creatinine level, higher stone size and stone burden, and longer operation time were predictive factors for UC placement following fURS (p= 0.008, p= 0.001, p= 0.001, p= 0.010, and p= 0.001, respectively).
Conclusion: The present study demonstrated that UC placement following fURS was associated with increased analgesia requirements and more pain. Moreover, our study demonstrated that male gender, higher preoperative creatinine level, higher stone size and stone volume, and longer operation time resulted in UC insertion after fURS.
References
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- 2- EAU Guidelines. Edn. presented at the EAU Annual Congress Milan 2023. ISBN 978-94-92671-19-6
- 3- Chen S, Xu B, Liu N, et al. Improved effectiveness and safety of flexible ureteroscopy for renal calculi (< 2 cm): A retrospective study. Canadian Urological Association Journal. 2015;9:E273.
- 4- De Coninck V, Keller EX, Somani B, et al. Complications of ureteroscopy: a complete overview. World journal of urology. 2020;38:2147-66
- 5- Kang CY, Chaudhry OO, Halabi WJ, et al. Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg. 2012;78:1100-4..
- 6- Pawłowska-Krajka E, Dorobek A. The impact of urinary bladder catheterisation after ureterorenoscopic stone removal on the postoperative course. Cent European J Urol. 2017;70:405-411.
- 7- Yuruk E, Binbay M, Ozgor F, et al. Flexible ureterorenoscopy is safe and efficient for the treatment of kidney stones in patients with chronic kidney disease. Urology. 2014;84:1279-84.
- 8- Tanik S, Zengin K, Albayrak S, et al. The effectiveness of flexible ureterorenoscopy for opaque and non-opaque renal stones. Urol J. 2015;12:2005-9.
- 9- Yavuz M, Etiler N. Addressing urinary incontinence by gender: a nationwide population-based study in Turkiye. BMC urology. 2023;23:205.
- 10- Hori S, Otsuki H, Fujio K, et al. Impact of eliminating urethral catheterization following ureterorenoscopic lithotripsy. International Journal of Urology. 2022;29:337-42.
- 11- Majdalany SE, Levin BA, Ghani KR. The efficiency of moses technology holmium laser for treating renal stones during flexible ureteroscopy: relationship between stone volume, time, and energy. Journal of Endourology. 2021;35:S-14.
- 12- Akman T, Binbay M, Ozgor F, et al. Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2-4 cm stones: a matched-pair analysis. BJU Int. 2012;109:1384-9.
- 13- Alkan E, Ozkanli O, Avci E, et al. Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm. Adv Urol. 2014;2014:314954.
- 14- Ozgor F, Sahan M, Cubuk A, et al. Factors affecting infectious complications following flexible ureterorenoscopy. Urolithiasis. 2019;47:481-486.
- 15- Tonyali S, Pietropaolo A, Emiliani E, et al. Factors associated with ureteral strictures following ureteroscopy for impacted ureteral stones? A multicenter study by EAU-YAU
Abstract
References
- 1- Torrecilla Ortiz C, Colom Feixas S. Actualización en el tratamiento de la litiasis ureteral: URS semirrígida y flexible [Update in the management of ureteral lithiasis: Semirigid and flexible ureterorenoscopy.]. Arch Esp Urol. 2017;70:124-133.
- 2- EAU Guidelines. Edn. presented at the EAU Annual Congress Milan 2023. ISBN 978-94-92671-19-6
- 3- Chen S, Xu B, Liu N, et al. Improved effectiveness and safety of flexible ureteroscopy for renal calculi (< 2 cm): A retrospective study. Canadian Urological Association Journal. 2015;9:E273.
- 4- De Coninck V, Keller EX, Somani B, et al. Complications of ureteroscopy: a complete overview. World journal of urology. 2020;38:2147-66
- 5- Kang CY, Chaudhry OO, Halabi WJ, et al. Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg. 2012;78:1100-4..
- 6- Pawłowska-Krajka E, Dorobek A. The impact of urinary bladder catheterisation after ureterorenoscopic stone removal on the postoperative course. Cent European J Urol. 2017;70:405-411.
- 7- Yuruk E, Binbay M, Ozgor F, et al. Flexible ureterorenoscopy is safe and efficient for the treatment of kidney stones in patients with chronic kidney disease. Urology. 2014;84:1279-84.
- 8- Tanik S, Zengin K, Albayrak S, et al. The effectiveness of flexible ureterorenoscopy for opaque and non-opaque renal stones. Urol J. 2015;12:2005-9.
- 9- Yavuz M, Etiler N. Addressing urinary incontinence by gender: a nationwide population-based study in Turkiye. BMC urology. 2023;23:205.
- 10- Hori S, Otsuki H, Fujio K, et al. Impact of eliminating urethral catheterization following ureterorenoscopic lithotripsy. International Journal of Urology. 2022;29:337-42.
- 11- Majdalany SE, Levin BA, Ghani KR. The efficiency of moses technology holmium laser for treating renal stones during flexible ureteroscopy: relationship between stone volume, time, and energy. Journal of Endourology. 2021;35:S-14.
- 12- Akman T, Binbay M, Ozgor F, et al. Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2-4 cm stones: a matched-pair analysis. BJU Int. 2012;109:1384-9.
- 13- Alkan E, Ozkanli O, Avci E, et al. Effectiveness of Flexible Ureterorenoscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones Smaller Than 2 cm. Adv Urol. 2014;2014:314954.
- 14- Ozgor F, Sahan M, Cubuk A, et al. Factors affecting infectious complications following flexible ureterorenoscopy. Urolithiasis. 2019;47:481-486.
- 15- Tonyali S, Pietropaolo A, Emiliani E, et al. Factors associated with ureteral strictures following ureteroscopy for impacted ureteral stones? A multicenter study by EAU-YAU
Details
| Primary Language | English |
|---|---|
| Subjects | Urology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 1, 2024 |
| Submission Date | March 21, 2024 |
| Acceptance Date | April 22, 2024 |
| Published in Issue | Year 2024 Volume: 15 Issue: 3 |
