Could ureteral wall thickness have an impact on the operative and post-operative parameters in ureteroscopic management of proximal ureteral stones?

dc.contributor.authorSarica, K.
dc.contributor.authorEryildirim, B.
dc.contributor.authorAkdere, H.
dc.contributor.authorCamur, E.
dc.contributor.authorSabuncu, K.
dc.contributor.authorElibol, O.
dc.date.accessioned2024-06-12T11:16:58Z
dc.date.available2024-06-12T11:16:58Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAim: To evaluate the possible impact of stone impaction in terms of ureteral wall thickness (UWT) on the success and procedure related parameters of ureteroscopic management in proximal ureteral calculi. Patients and methods: 82 patients with proximal ureteric stones were included and were divided into 2 subgroups where UWT was > 5 mm in 38 cases; and < 5 mm in 44 cases. Stone size, degree of hydronehrosis, diameter of proximal ureteral Luz, UWT and patient's demographics were evaluated. Semi-rigid ureteroscopy with Ho-YAG laser was performed and the possible impact of UWT as an objective parameter for stone impaction on the success rates and procedure related parameters was evaluated. Results: Mean patient age and stone size values were 47.55 +/- 1.78 years and 8.17 +/- 0.29 mm respectively. Regarding the impact of UWT value at the stone site for the parameters mentioned above stone free rates particularly at 1-week after the procedure was higher in group 2 and the rate of residual fragments as well as the need for double J stent placement was higher in group 1. Additionally, mean duration of the procedures was significantly longer in Group 1 during which pathologic alterations were significantly higher in ureteral wall at stone site were observed in these cases (P=.0243). Conclusions: UWT may be used to predict the success of ureteroscopic management and other procedure related parameters for proximal ureteral stones in an effective manner. With this approach a more rational operative plan with higher success rates, limited complications and auxiliary procedures could be made. (C) 2019 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.en_US
dc.identifier.doi10.1016/j.acuro.2018.10.003
dc.identifier.endpage479en_US
dc.identifier.issn0210-4806
dc.identifier.issn1699-7980
dc.identifier.issue9en_US
dc.identifier.pmid31155374en_US
dc.identifier.scopus2-s2.0-85067988309en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage474en_US
dc.identifier.urihttps://doi.org/10.1016/j.acuro.2018.10.003
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24518
dc.identifier.volume43en_US
dc.identifier.wosWOS:000498476800003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoesen_US
dc.publisherEne Ediciones Slen_US
dc.relation.ispartofActas Urologicas Espanolasen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUreteral Wall Thicknessen_US
dc.subjectUreteral Calculien_US
dc.subjectUreteroscopic Managementen_US
dc.subjectMedical Expulsive Therapyen_US
dc.subjectShock-Wave Lithotripsyen_US
dc.subjectUreterolithotripsyen_US
dc.subjectGuidelinesen_US
dc.subjectOutcomesen_US
dc.subjectSuccessen_US
dc.titleCould ureteral wall thickness have an impact on the operative and post-operative parameters in ureteroscopic management of proximal ureteral stones?en_US
dc.typeArticleen_US

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