Safety and Efficacy of Retrograde Intrarenal Surgery in the Solitary Kidney: A Propensity Score-Matched Analysis of the RIRSearch Study Groups' Results

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dc.authoridOnal, Bulent/0000-0003-0540-2693
dc.authoridOZMAN, Oktay/0000-0003-2499-8947
dc.authoridcinar, onder/0000-0002-0107-5843
dc.authoridAKGUL, MURAT/0000-0001-6187-1940
dc.contributor.authorCinar, Onder
dc.contributor.authorCakir, Hakan
dc.contributor.authorOzman, Oktay
dc.contributor.authorAkgul, Murat
dc.contributor.authorBasatac, Cem
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorSancak, Eyup Burak
dc.date.accessioned2024-10-29T17:58:37Z
dc.date.available2024-10-29T17:58:37Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractBackground: The aim of this study was to evaluate the efficacy and safety of retrograde intrarenal surgery (RIRS) in patients with renal calculi with solitary kidneys (SKs). Materials and Methods: In this retrospective, multicenter study, a matched case-control study was carried out using the data from 522 RIRS patients treated between 2014 and 2021. Patients' demographic data, stone characteristics, operative outcomes, perioperative and postoperative complications, and surgical success were analyzed. All patients were evaluated with noncontrast-enhanced computed tomography (NCCT) preoperatively and 1 month after the surgery. Surgical success was defined as no evidence of remaining residual fragments of <3 mm in the first-month postoperative NCCT images. The case group of 29 patients with SKs (Group 1) treated with RIRS were matched with 76 control patients (Group 2) with bilateral kidneys, who underwent unilateral RIRS by propensity score-matched (PSM) analysis. Results: After PSM analysis, the demographic and clinical data did not differ significantly between the groups. The stone burden was similar between the groups: 733.6 mm3 (range: 50.4-7565.9) versus 991.1 mm3 (range: 201.2-4380.6) (P = .09), respectively. The perioperative complication rates were 13.8% (n = 4) in Group 1 and 11.8% (n = 9) in Group 2 (P = .78). There was no statistically significant difference between the groups for postoperative complication rates (minor complications, classified as Clavien 1 or 2), (6.9% [n = 2] versus 13.2% [n = 10; P = .34]), respectively. Surgical success was 82.8% (n = 24) in Group 1 and 83.6% in Group 2 (P = .92). There was no significant difference between preoperative and postoperative glomerular filtration rate and creatinine values (P = .005). Conclusions: Our results support that RIRS is a safe and effective treatment method in SK patients with similar complication and stone-free rates compared to patients who had bilateral functional kidneys and underwent unilateral RIRS.
dc.identifier.doi10.1089/lap.2023.0408
dc.identifier.endpage161
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue2en_US
dc.identifier.pmid38153393
dc.identifier.scopus2-s2.0-85182177958
dc.identifier.scopusqualityQ2
dc.identifier.startpage155
dc.identifier.urihttps://doi.org/10.1089/lap.2023.0408
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14424
dc.identifier.volume34
dc.identifier.wosWOS:001152596200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectrenal calculi
dc.subjectretrograde intrarenal surgery
dc.subjectsolitary kidney
dc.subjectsurgical success
dc.titleSafety and Efficacy of Retrograde Intrarenal Surgery in the Solitary Kidney: A Propensity Score-Matched Analysis of the RIRSearch Study Groups' Results
dc.typeArticle

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