Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease - 26/11/14
, Murat Binbay a, Faruk Ozgor b, Akif Erbin b, Yalcin Berberoglu b, Ahmet Y. Muslumanoglu aAbstract |
Objective |
To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD).
Patients and Methods |
Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to estimated glomerular filtration rate. Patients with stage ≥3 were accepted as having CKD (study group). These patients were matched with a group of patients without CKD (control group). Operative characteristics, complication rates, and third-month success rates were compared.
Results |
Overall, 339 patients underwent f-URS and 62 (18.28%) had CKD. Control group constituted of 87 patients. Having a solitary kidney (17.4% vs 3.5%; P = .003) and history of stone intervention (51.6% vs 23%; P = .001) were more common in the CKD group. Similarly, access sheath was more commonly used among patients with CKD (87.1% vs 70.22%; P = .015). Both perioperative (19.35% vs 19.54; P = .372) and postoperative (22.6% vs 16.1%; P = .214) complication rates were similar in patients with and without CKD. Hospitalization time was 25.70 ± 25.62 and 24.5 ± 25 hours (P = .871) for patients with and without CKD, respectively. Although mean third postoperative estimated glomerular filtration rate of patients with CKD did not change significantly (48.16 ± 8.72 vs 49.08 ± 9.26; P = .431), CKD stage of 13 patients shifted from 3 to 2. At the third postoperative month, stone free rate in patients with and without CKD was 87.1% vs 86.2% (P = .875).
Conclusion |
f-URS is a safe and effective procedure in patients with CKD and it is associated with improved overall kidney function.
Le texte complet de cet article est disponible en PDF.Plan
| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 84 - N° 6
P. 1279-1284 - décembre 2014 Retour au numéro
Article précédent
- Anesthetic Exposure in the Treatment of Symptomatic Urinary Calculi in Pregnant Women
- Marcelino E. Rivera, Kelly L. McAlvany, Thomas S. Brinton, Matthew T. Gettman, Amy E. Krambeck
- Flexible Ureterorenoscopy for the Treatment of Kidney Stone Within Pelvic Ectopic Kidney
- Omer Faruk Bozkurt, Abdulkadir Tepeler, Brian Sninsky, Ekrem Ozyuvali, Tevfik Ziypak, Gokhan Atis, Mansur Daggulli, Berkan Resorlu, Turhan Caskurlu, Ali Unsal
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?