Bilateral same session renal stone surgery tolerance and complications

Introduction: The prevalence rate of upper urinary tract calculi in Saudi Arabia is one of the highest globally. Bilateral renal stone management is an option but is still controversial. Methodology: The study was a retrospective study, including 31 patients with bilateral renal or ureteric stones w...

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Autores: Addar, A., Aljuhayman, A., Ghazwani, Y., Al Khayal, A., Alasker, Ahmed, Emiliani, Esteban|||0000-0003-4488-0022, Hamri, S.B.|||0000-0003-3447-8400
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:270277
Acceso en línea:https://ddd.uab.cat/record/270277
https://dx.doi.org/urn:doi:10.4103/UA.UA_128_20
Access Level:acceso abierto
Palabra clave:Endourology
Lithiasis
Lithotripsy
Ureteroscopy
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spelling Bilateral same session renal stone surgery tolerance and complicationsAddar, A.Aljuhayman, A.Ghazwani, Y.Al Khayal, A.Alasker, AhmedEmiliani, Esteban|||0000-0003-4488-0022Hamri, S.B.|||0000-0003-3447-8400EndourologyLithiasisLithotripsyUreteroscopyIntroduction: The prevalence rate of upper urinary tract calculi in Saudi Arabia is one of the highest globally. Bilateral renal stone management is an option but is still controversial. Methodology: The study was a retrospective study, including 31 patients with bilateral renal or ureteric stones who underwent bilateral same-session ureterorenoscopy (BSS-URS). The data collected included age, gender, body mass index (BMI), stone burden bilaterally, operative time bilaterally, hospital stay, stone location, type of anesthesia, stone history, renal anomaly as well as pre- and postoperative JJ stenting. In addition, data related to complications (ureteric injury, renal failure, urinary tract infection, pain requiring an emergency department visit within 1 week of the procedure), the stone-free rate (defined as £ 3 mm asymptomatic stone fragment identified with computed tomography Kidney, Ureter and Bladder 3 months after surgery was also collected. The data were collected from the electronic patient record system, entered in an Excel spreadsheet, and descriptive analysis was done. Results: In total, 31 patients were included, with the majority (80.6%, n = 25) male. The mean age was 41.6 years, the mean BMI 28.7 ± 5.59, the mean operative time for each renal unit 46.53 ± 25.69 min, and the mean hospital stay 17.87 ± 8.43 h. The majority (96.7%, n = 30) received general anesthesia. Less than half (40.3%, n = 25) of the renal units had stones in multiple calyces and the majority (90.3%, n = 56) of the renal units were stone free at the 3-month follow-up. A small proportion (3.2%, n = 2) of the renal units were polycystic. Prestenting was documented in 40.3% (n = 25) of the renal units and the majority (95.2%, n = 59) were stented postoperatively. Conclusion: BSS-URS is a safe and a highly effective management option for bilateral renal stones. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/270277https://dx.doi.org/urn:doi:10.4103/UA.UA_128_20reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2702772026-06-06T12:50:31Z
dc.title.none.fl_str_mv Bilateral same session renal stone surgery tolerance and complications
title Bilateral same session renal stone surgery tolerance and complications
spellingShingle Bilateral same session renal stone surgery tolerance and complications
Addar, A.
Endourology
Lithiasis
Lithotripsy
Ureteroscopy
title_short Bilateral same session renal stone surgery tolerance and complications
title_full Bilateral same session renal stone surgery tolerance and complications
title_fullStr Bilateral same session renal stone surgery tolerance and complications
title_full_unstemmed Bilateral same session renal stone surgery tolerance and complications
title_sort Bilateral same session renal stone surgery tolerance and complications
dc.creator.none.fl_str_mv Addar, A.
Aljuhayman, A.
Ghazwani, Y.
Al Khayal, A.
Alasker, Ahmed
Emiliani, Esteban|||0000-0003-4488-0022
Hamri, S.B.|||0000-0003-3447-8400
author Addar, A.
author_facet Addar, A.
Aljuhayman, A.
Ghazwani, Y.
Al Khayal, A.
Alasker, Ahmed
Emiliani, Esteban|||0000-0003-4488-0022
Hamri, S.B.|||0000-0003-3447-8400
author_role author
author2 Aljuhayman, A.
Ghazwani, Y.
Al Khayal, A.
Alasker, Ahmed
Emiliani, Esteban|||0000-0003-4488-0022
Hamri, S.B.|||0000-0003-3447-8400
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Endourology
Lithiasis
Lithotripsy
Ureteroscopy
topic Endourology
Lithiasis
Lithotripsy
Ureteroscopy
description Introduction: The prevalence rate of upper urinary tract calculi in Saudi Arabia is one of the highest globally. Bilateral renal stone management is an option but is still controversial. Methodology: The study was a retrospective study, including 31 patients with bilateral renal or ureteric stones who underwent bilateral same-session ureterorenoscopy (BSS-URS). The data collected included age, gender, body mass index (BMI), stone burden bilaterally, operative time bilaterally, hospital stay, stone location, type of anesthesia, stone history, renal anomaly as well as pre- and postoperative JJ stenting. In addition, data related to complications (ureteric injury, renal failure, urinary tract infection, pain requiring an emergency department visit within 1 week of the procedure), the stone-free rate (defined as £ 3 mm asymptomatic stone fragment identified with computed tomography Kidney, Ureter and Bladder 3 months after surgery was also collected. The data were collected from the electronic patient record system, entered in an Excel spreadsheet, and descriptive analysis was done. Results: In total, 31 patients were included, with the majority (80.6%, n = 25) male. The mean age was 41.6 years, the mean BMI 28.7 ± 5.59, the mean operative time for each renal unit 46.53 ± 25.69 min, and the mean hospital stay 17.87 ± 8.43 h. The majority (96.7%, n = 30) received general anesthesia. Less than half (40.3%, n = 25) of the renal units had stones in multiple calyces and the majority (90.3%, n = 56) of the renal units were stone free at the 3-month follow-up. A small proportion (3.2%, n = 2) of the renal units were polycystic. Prestenting was documented in 40.3% (n = 25) of the renal units and the majority (95.2%, n = 59) were stented postoperatively. Conclusion: BSS-URS is a safe and a highly effective management option for bilateral renal stones.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
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https://dx.doi.org/urn:doi:10.4103/UA.UA_128_20
url https://ddd.uab.cat/record/270277
https://dx.doi.org/urn:doi:10.4103/UA.UA_128_20
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
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instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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