Impact of gender on success and complication rates after ureteroscopy

Özsoy, Mehmet; Acar, Ömer; Sarıca, Kemal; Saratlija-Novaković, Zana; Fajković, Harun; Librenjak, Davor; Esen, Tarık; Scheffbuch, N; Seitz, Christian

doi:10.1007/s00345-014-1435-x

Cited by 31 publications

(21 citation statements)

References 15 publications

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“…This is consistent with other studies showing that patients with residual fragments had more urinary tract infections than patients without residual fragments. 2 With this study in mind, clearing the patient of all visible stones appears the most important variable in preventing an adverse outcome.…”

Section: Discussionmentioning

confidence: 90%

“…Ureteroscopy (URS) is increasingly selected as first-line therapy for renal and ureteral calculi, and it has proved to have higher success rates than extracorporeal shock wave lithotripsy. 2 Despite the widespread use of URS, past research reports a wide range of post-operative complications from 3.5% to up to 30%. 3,4 These complications can result in emergency department (ED) visits, hospital admissions, or returns to the operating room (OR).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Patient and Surgical Variables Including Residency Training Level on Adverse Events After Ureteroscopy for Ureteral Stones: A Multivariate Analysis

Johans

Smelser

Deroche

et al. 2018

Journal of Endourology

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Assessment of Patient and Surgical Variables Including Residency Training Level on Adverse Events After Ureteroscopy for Ureteral Stones: A Multivariate Analysis

Johans

Smelser

Deroche

et al. 2018

Journal of Endourology

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“…A total of 2070 articles were initially identified, and 14 full-text English language articles were included in the final review which fit our inclusion criteria (Fig. 1) [13,15,[18][19][20][21][22][23][24][25][26][27][28]. The total number of ureteroscopies included in these papers was 24,373, and the mean age was 51.2 years (range 42-61 years), male:female ratio of 3:2 and a mean BMI of 26.9 (range 23.7-31.8) ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…In the literature, there are many small, medium and highvolume prospective studies that have reported on the infectious complications following URS for renal stone disease [18][19][20][21][22][23][24][25][26][27][28][29]. Some studies have also looked at the risk factors for urinary infections following ureteroscopy and advised on strategies to reduce these risks.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Urinary Infections and Urosepsis After Ureteroscopy for Stone Disease: a Systematic Review from EAU Section of Urolithiasis (EULIS)

et al. 2020

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Purpose of Review To present the latest evidence related to the predictors of urinary tract infections (UTIs) and urosepsis after ureteroscopy (URS) for stone disease. Recent Findings Our review suggests that almost half of all post-URS complications are related to infectious complications although reported rates of urosepsis were low. The use of antibiotic prophylaxis, treatment of pre-operative UTI, and low procedural time seem to reduce this risk. However, the risk is higher in patients with higher Charlson comorbidity index, elderly patients, female gender, long duration of pre-procedural indwelling ureteric stents and patients with a neurogenic bladder and with high BMI. Summary Infectious complications following ureteroscopy can be a source of morbidity and potential mortality. Although majority of these are minor, efforts must be taken to minimise them especially in high-risk patients. This includes the use of prophylactic antibiotics, limiting stent dwell and procedural time, prompt identification and treatment of UTI and urosepsis, and careful planning in patients with large stone burden and multiple comorbidities.

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“…In previous studies that have been published, factors that are directly related and lead to infectious complications and sepsis are not clearly defined (7,8,9,10).…”

Section: Introductionmentioning

confidence: 99%

Possible risk factors for postoperative urinary tract infection following ureteroscopic lithotripsy

et al. 2020

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Background/Aim.Ureteroscopic lithotripsy is today a safe method of endoscopic destruction of stone in the kidney and ureter with a small number of complications of which the most common is postoperative urinary tract infection. Risk factors for the occurrence of urinary tract infection after the ureteroscopic destruction of stones in the ureter and kidney in the previous studies are not clearly defined. Methods. The study included 389 patients with ureteroscopic lithotripsy and possible risk factors were analyzed: age of the patient, sex, diabetes, presence, and degree of hydronephrosis, stone size, stone localization, wear of ureteral JJ stent and percutaneous nephrostomy catheter, type of surgical procedure and the duration of the operation. The frequency of postoperative urinary tract infection was statistically analyzed in relation to the possible risk factors. Results. 10% of patients had postoperative urinary tract infection. The higher incidence of postoperative urinary tract infection was found in patients with diabetes (X 2 =22.918; p<0.001), who before surgery carried a ureteral JJ stent (X 2 =4.620; p=0.040) and percutaneous nephrostomy catheter (X 2 =8.240; p=0.004), which had a larger stone (Z=-3.301; p=0.001), and in patients whose surgery lasted longer (t=4.261; p<0.001). Discussion. The risk of postoperative urinary tract infection following ureteroscopic lithotripsy is not negligible and is not clearly defined in the existing literature. Many authors examined risk factors for the emergence of postoperative urinary tract infections after ureteroscopic lithotripsy with different results and frequency. The frequency of postoperative urinary infection and risk factors for its emergence in our study are in line with the results of studies by other authors. Conclusion. Patients with diabetes, who preoperatively carried JJ stent or a percutaneous nephrostomy catheter, who had large stones and in which the operating time is longer have a greater risk of developing postoperative urinary tract infection. Accordingly, the importance of identifying these patients in the preparation for ureteroscopic lithotripsy contributes to the appropriate preoperative preparation and decreases the frequency of postoperative urinary tract infection to a minimum.

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Impact of gender on success and complication rates after ureteroscopy

Cited by 31 publications

References 15 publications

Assessment of Patient and Surgical Variables Including Residency Training Level on Adverse Events After Ureteroscopy for Ureteral Stones: A Multivariate Analysis

Assessment of Patient and Surgical Variables Including Residency Training Level on Adverse Events After Ureteroscopy for Ureteral Stones: A Multivariate Analysis

Predictors of Urinary Infections and Urosepsis After Ureteroscopy for Stone Disease: a Systematic Review from EAU Section of Urolithiasis (EULIS)

Possible risk factors for postoperative urinary tract infection following ureteroscopic lithotripsy

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