Is Psoas Muscle Mass Associated with Failure of Ureteral Access Sheath Insertion and Complications from Retrograde Intrarenal Surgery? A Case-Control Study from RIRSearch group

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dc.authoridAKGUL, MURAT/0000-0001-6187-1940
dc.authoridOnal, Bulent/0000-0003-0540-2693
dc.authoridcinar, onder/0000-0002-0107-5843
dc.authoridOZMAN, Oktay/0000-0003-2499-8947
dc.contributor.authorTeke, Kerem
dc.contributor.authorCakir, Hakan
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorOzman, Oktay
dc.contributor.authorBasatac, Cem
dc.contributor.authorAkgul, Haci Murat
dc.contributor.authorCinar, Onder
dc.date.accessioned2024-10-29T17:58:38Z
dc.date.available2024-10-29T17:58:38Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractObjective: To investigate the association between psoas muscle mass (PMM) and failure of ureteral access sheath (UAS) insertion and complications from retrograde intrarenal surgery (RIRS). Materials and Methods: A multicenter retrospective case-control study was conducted that included patients who underwent RIRS despite failure of UAS insertion (Cohort 1) and confounder-matched control patients who underwent RIRS after successful UAS insertion (Cohort 2). For morphometric analysis of PMM, ipsilateral psoas muscle areas (iPMAs) were measured using the coreslicer.com webkit. After comparing demographic, clinical, and complication rates and iPMAs between cohorts, gender-specific median iPMAs were also determined to further subdivide patients in each cohort as either low iPMAs or high iPMAs. Thereafter, patients were also compared in terms of RIRS complications. Results: Cohort 1 included 86 patients whereas Cohort 2 consisted of 124 matched cases. The median (interquartile range) iPMAs were similar between the cohorts: Cohort 1, 11.05 (6.82-14.44) cm(2) versus 11.12 (6.97-13.69) cm(2) for Cohort 2 (P .05). There was a significant inverse relationship between iPMAs with age (r = -0.222) and Charlson comorbidity index (r = -0.180) for all patients (P .05). Perioperative and postoperative complication rates were 8.1% and 16.3% for Cohort 1 and 6.5% and 21% for Cohort 2, respectively. The complication rates were not statistically different between patients with high iPMAs and those with low iPMAs, in male or female patients (P > .05). Conclusions: These results show that failure of UAS was not associated with PMM. Furthermore, since the complication rates were similar between patients with high PMM and low PMM, RIRS may be a reliable treatment choice for sarcopenic patients as well as in nonsarcopenic patients.
dc.identifier.doi10.1089/lap.2023.0512
dc.identifier.endpage338
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue4en_US
dc.identifier.pmid38422189
dc.identifier.scopus2-s2.0-85187664986
dc.identifier.scopusqualityQ2
dc.identifier.startpage329
dc.identifier.urihttps://doi.org/10.1089/lap.2023.0512
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14425
dc.identifier.volume34
dc.identifier.wosWOS:001178218800001
dc.identifier.wosqualityN/A
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.subjectcomplications
dc.subjectfailure
dc.subjectpsoas muscle
dc.subjectretrograde intrarenal surgery
dc.subjectsarcopenia
dc.subjectureteral access sheath
dc.titleIs Psoas Muscle Mass Associated with Failure of Ureteral Access Sheath Insertion and Complications from Retrograde Intrarenal Surgery? A Case-Control Study from RIRSearch group
dc.typeArticle

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