Retrograde Intrarenal Surgery Is a Safe Procedure in Severe Obese Patients: Is It Reality or Prediction? A Propensity Score-Matching Analysis from RIRSearch Study Group

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dc.authoridBaseskioglu, Barbaros/0000-0002-6965-4745
dc.authoridSIDDIKOGLU, Duygu/0000-0002-5093-7948
dc.authoridcinar, onder/0000-0002-0107-5843
dc.authoridAKGUL, MURAT/0000-0001-6187-1940
dc.authoridYazici, Cenk Murat/0000-0001-6140-5181
dc.authoridOnal, Bulent/0000-0003-0540-2693
dc.authoridOZMAN, Oktay/0000-0003-2499-8947
dc.contributor.authorBasatac, Cem
dc.contributor.authorOzman, Oktay
dc.contributor.authorCakir, Hakan
dc.contributor.authorCinar, Onder
dc.contributor.authorAkgul, Haci Murat
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorSancak, Eyup Burak
dc.date.accessioned2025-01-27T20:16:48Z
dc.date.available2025-01-27T20:16:48Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: The aim of the study was to assess whether severely obese patients have an increased risk of complications during and after retrograde intrarenal surgery (RIRS). Materials and Methods: The data of 639 consecutive patients undergoing RIRS for the treatment of upper tract urinary stones were analyzed retrospectively. The patients were divided into two groups according to their body mass index numbers (Group 1, <35; Group 2, >= 35). The patients' demographics, stone characteristics, operative outcomes, and complication rates were compared between the groups. The primary objective was to examine whether the intraoperative and postoperative complication rates were higher in patients with a body mass index of >= 35 kg/m(2). Results: After matching of confounding factors, Group 1 comprised 135 patients, and Group 2 comprised 47 patients. The baseline characteristics were similar between the groups. There were no significant differences between groups for intraoperative complication rates (11.8% and 12.8%, respectively; p = 0.97). There was statistically significant difference in favor of Group 2 for postoperative complication rates (12.6% and 29.7%; respectively, p < 0.01), overall complication rates (22.9% and 38.2%; respectively, p = 0.02), mean operation time (56.15 vs 66.45 minutes; respectively, p = 0.01), and length of stay (1.4 vs 2.1 days; p = 0.03). Stone-free rates (75.5% vs 85.1%; respectively, p = 0.17) did not differ between groups. Conclusions: RIRS is an efficient and feasible treatment option for upper urinary tract stones in severely obese patients. However, higher possibility of postoperative, especially infectious, complication rates should be considered in these patients.
dc.identifier.doi10.1089/end.2021.0887
dc.identifier.endpage897
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue7
dc.identifier.pmid35029126
dc.identifier.scopus2-s2.0-85134173762
dc.identifier.scopusqualityQ1
dc.identifier.startpage891
dc.identifier.urihttps://doi.org/10.1089/end.2021.0887
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21396
dc.identifier.volume36
dc.identifier.wosWOS:000850679000004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Endourology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectcomplications
dc.subjectinfection
dc.subjectkidney stones
dc.subjectobesity
dc.subjectretrograde intrarenal surgery
dc.titleRetrograde Intrarenal Surgery Is a Safe Procedure in Severe Obese Patients: Is It Reality or Prediction? A Propensity Score-Matching Analysis from RIRSearch Study Group
dc.typeArticle

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