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

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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.accessioned2024-10-29T17:58:17Z
dc.date.available2024-10-29T17:58:17Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesien_US
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.en_US
dc.identifier.doi10.1007/s00240-024-01620-0
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue1en_US
dc.identifier.pmid39196385en_US
dc.identifier.scopus2-s2.0-85202594530en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-024-01620-0
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14198
dc.identifier.volume52en_US
dc.identifier.wosWOS:001300726400002en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRetrograde intrerenal surgeryen_US
dc.subjectPostoperative urinary tract infectionen_US
dc.subjectPreoperative JJ stenten_US
dc.subjectDurationen_US
dc.titleThe impact of preoperative ureteral stent duration on retrograde intrarenal surgery results: a RIRSearch group studyen_US
dc.typeArticleen_US

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