Evaluating Ureteral Wall Injuries with Endoscopic Grading System and Analysis of the Predisposing Factors

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dc.authoridKilinc, Muhammet Fatih/0000-0002-2515-7106
dc.authoridYucel, Mehmet Ozgur/0000-0002-6920-8606
dc.contributor.authorKarakan, Tolga
dc.contributor.authorKilinc, Muhammet Fatih
dc.contributor.authorDemirbas, Arif
dc.contributor.authorHascicek, Ahmet Metin
dc.contributor.authorDoluoglu, Omer Gokhan
dc.contributor.authorYucel, Mehmet Ozgur
dc.contributor.authorResorlu, Berkan
dc.date.accessioned2025-01-27T20:52:27Z
dc.date.available2025-01-27T20:52:27Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: To analyze the predictive factors for intraoperative ureteral wall injury due to semirigid ureteroscopy (URS) used in the treatment of ureteral calculi. Methods: The data of 437 patients who had URS due to ureteral stones were prospectively analyzed. The ureteral wall injuries that occurred during URS were reviewed endoscopically at the end of surgery and divided into two groups as low grade (grades 0 and 1) and high grade (grades 2, 3, and 4) according to classification of ureteral wall injuries. Those two groups were compared for patient and stone characteristics and perioperative findings. Results: Ureteral wall injury was seen in 133 (30.4%) patients after surgery. According to the endoscopic classification of the lesions after URS, grades 0, 1, 2, and 3 injury were seen in 69.5%, 16.4%, 11.2%, and 2.7% of the patients, respectively. There were no grade 4 injuries in our series. Two groups showed statistically significant differences for the location (prox- vs distal and mid-ureter) and size of the stone (9.9mm vs 14.03mm), presence of preoperatively urinary tract infection (UTI) (12% vs 50.8%), needed balloon dilatation (9.8% vs 36.1%), duration of surgery (33.6min vs 43.3min), and surgical success rate (90% vs 76%) (p=0.01, for all). Stone size, location, duration of surgery, and presence of preoperative infection were determined as independent prognostic factors for mucosal injury. Conclusion: The ureteral wall injury grading system may be used for standardized reporting of ureteral lesions after ureteroscopy. Big, proximal ureteral stone, longer operation time, and presence of UTI are the risk factors for ureteral wall injury during URS.
dc.identifier.doi10.1089/end.2015.0706
dc.identifier.endpage378
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue4
dc.identifier.pmid26859529
dc.identifier.scopus2-s2.0-84964950978
dc.identifier.scopusqualityQ1
dc.identifier.startpage375
dc.identifier.urihttps://doi.org/10.1089/end.2015.0706
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25766
dc.identifier.volume30
dc.identifier.wosWOS:000374646700004
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.subjectPredictive Factors
dc.subjectLaser Lithotripsy
dc.subjectUreteroscopy
dc.subjectComplications
dc.subjectSafety
dc.subjectClassification
dc.subjectSurgery
dc.subjectCalculi
dc.subjectScale
dc.titleEvaluating Ureteral Wall Injuries with Endoscopic Grading System and Analysis of the Predisposing Factors
dc.typeArticle

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