Retrograde intrarenal surgery of renal stones: A critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study)

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dc.authorid0000-0002-5009-8435
dc.authorid0000-0002-5919-1986
dc.contributor.authorGüven, Selçuk
dc.contributor.authorYiğit, Pakize
dc.contributor.authorTuncel, Altuğ
dc.contributor.authorKarabulut, İbrahim
dc.contributor.authorŞahin, Selçuk
dc.contributor.authorKılıç, Özcan
dc.contributor.authorBalasar, Mehmet
dc.contributor.authorSeçkiner, İlker
dc.contributor.authorCanda, Erdem
dc.contributor.authorSönmez, Mehmet Giray
dc.contributor.authorTefik, Tzevat
dc.contributor.authorBoz, Mustafa Yücel
dc.contributor.authorAtış, Gökhan
dc.contributor.authorErgin, Giray
dc.contributor.authorSoytaş, Mustafa
dc.contributor.authorŞenel, Çağdaş
dc.contributor.authorKıraç, Mustafa
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorAkand, Murat
dc.contributor.authorTuğcu, Volkan
dc.contributor.authorErkurt, Bülent
dc.contributor.authorMüslümanoğlu, Ahmet
dc.contributor.authorSarıca, Kemal
dc.date.accessioned2021-03-18T08:44:00Z
dc.date.available2021-03-18T08:44:00Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Biyoistatistik ve Tıp Bilişimi Ana Bilim Dalı
dc.description.abstractAims To outline and evaluate the incidence, management and follow-up of the residual fragments (RFs) following retrograde intrarenal surgery (RIRS) of renal stones by the Turkish Academy of Urology Prospective Study Group (ACUP Study). Methods Following the ethical committee approval, 15 centers providing data regarding the incidence, management, and follow-up of RFs after RIRS were included and all relevant information was recorded into the same electronic database program () created by Turkish Urology Academy for Residual Stone Study. Results A total of 1112 cases underwent RIRS for renal calculi and RFs were observed in 276 cases (24.8%). Of all the parameters evaluated, our results demonstrated no statistically significant relation between preoperative DJ stenting and the presence of RFs (chi 2 (1) = 158.418; p = 0.099). RFs were significantly higher in patients treated with UAS (82 patients, 29.3%) during the procedure compared to the cases who did not receive UAS (194 patients, 23.3%) (chi 2 (1) = 3.999; p = 0.046). The mean period for a secondary intervention after RIRS was 28.39 (+/- 12.52) days. Regarding the procedures applied for RF removal, re-RIRS was the most commonly performed approach (56%). Conclusions Despite the reported safe and successful outcomes, the incidence of RFs is higher, after the RIRS procedure particularly in cases with relatively larger calculi. Such cases need to be followed in a close manner and although a second flexible ureteroscopy is the treatment of choice for fragment removal in the majority of these patients, shock wave lithotripsy and percutaneous nephrolithotomy may also be preferred in selected cases.
dc.description.sponsorshipTurkish Association of Urologyen_US
dc.identifier.citationGüven, S., Yiğit, P., Tuncel, A., Karabulut, İ., Şahin, S., Kılıç, Ö. ... Sarıca, K. (2021). Retrograde intrarenal surgery of renal stones: A critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study). World Journal of Urology, 39(2), 549-554. https://dx.doi.org/10.1007/s00345-020-03210-2
dc.identifier.doi10.1007/s00345-020-03210-2
dc.identifier.endpage554
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue2
dc.identifier.scopusqualityQ1
dc.identifier.startpage549
dc.identifier.urihttps://dx.doi.org/10.1007/s00345-020-03210-2
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6620
dc.identifier.volume39
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectRetrograde Intrarenal Surgery
dc.subjectStone Management
dc.subjectResidual Fragments
dc.titleRetrograde intrarenal surgery of renal stones: A critical multi-aspect evaluation of the outcomes by the Turkish Academy of Urology Prospective Study Group (ACUP Study)
dc.typeArticle

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