The impact of preoperative ureteral stent duration on retrograde intrarenal surgery results: a RIRSearch group study

Basit Öğe Kaydı
dc.authoridAKGUL, MURAT/0000-0001-6187-1940
dc.authoridOnal, Bulent/0000-0003-0540-2693
dc.authoridSAHIN, MEHMET FATIH/0000-0002-0926-3005
dc.authoridYazici, Cenk Murat/0000-0001-6140-5181
dc.contributor.authorSahin, Mehmet Fatih
dc.contributor.authorAkgul, Murat
dc.contributor.authorCakir, Hakan
dc.contributor.authorOzman, Oktay
dc.contributor.authorBasatac, Cem
dc.contributor.authorCinar, Onder
dc.contributor.authorSiddikoglu, Duygu
dc.date.accessioned2025-01-27T21:00:08Z
dc.date.available2025-01-27T21:00:08Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractA JJ stent placed before retrograde intrarenal surgery (RIRS) may ease the procedure. However, it is important to note that a prolonged duration of double J stent (DJS) placement before RIRS may increase the risk of postoperative urinary tract infection (UTI). Various publications have established this association, although the duration of the DJS before surgery is scarce. Our study investigates the relationship between the pre-stenting period and postoperative UTI and establishes a cut-off period to minimize this risk. We included a total of 500 cases with preoperative DJS prior to RIRS. The patients were divided into five groups according to their preoperative stenting duration (Group 1: 0-15 days; Group 2: 16-30 days; Group 3: 31-45 days; Group 4: 46-60 days; Group 5: >60 days). Demographic and clinical data of the patients, stone properties, operation data, perioperative and postoperative complications (including fever and UTI), hospitalization time, and stone-free rates (SFR) were compared. The groups contained 53, 124, 102, 63, and 158 patients. The demographics of the patients in each group were similar. There was no statistically significant difference between DJS duration, perioperative/postoperative complications, and SFR, except for the ureteral access sheath (UAS) insertion rate. (p = 0.001). The postoperative fever/UTI rate was the lowest in Group 1 (p = 0.046) compared to other durations. Stent duration does not impact SFR. Longer stents enhance UAS insertion success but increase postoperative infection risk. Our results suggest that RIRS should be performed within two weeks, ideally 20 days following stent insertion, to minimize postoperative infection risk.
dc.identifier.doi10.1007/s00240-024-01620-0
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue1
dc.identifier.pmid39196385
dc.identifier.scopus2-s2.0-85202594530
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1007/s00240-024-01620-0
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26948
dc.identifier.volume52
dc.identifier.wosWOS:001300726400002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectRetrograde intrerenal surgery
dc.subjectPostoperative urinary tract infection
dc.subjectPreoperative JJ stent
dc.subjectDuration
dc.titleThe impact of preoperative ureteral stent duration on retrograde intrarenal surgery results: a RIRSearch group study
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu