International collaboration in Endourology: Multicenter evaluation of prestenting for ureterorenoscopy

Jan Peter Jessen, Alberto Breda, Marianne Brehmer, Evangelos N Liatsikos, Felix Millan Rodriguez , Palle Jørn Sloth Osther, Cesare Marco Scoffone, Thomas Knoll

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

INTRODUCTION: Semirigid and flexible ureterorenoscopy (URS) are safe and efficient treatment options for urolithiasis of all localizations. Sometimes, a JJ-stent is placed in preparation of definitive treatment. Aim of our study was to evaluate the influence of prestenting on the outcome of URS.

METHODS: We retrospectively analyzed 565 patients out of our prospective multicenter, multinational database who underwent URS for renal or ureteral stones from 06/2011 to 12/2013. Demographic and stone related data, surgery time, stone clearance and complications were evaluated. Statistical analysis was performed comparing the prestented and nonstented group.

RESULTS: Demographic data, stone size and localization were comparable in both groups. 323 patients were prestented and 242 nonstented. Overall, prestenting had significant influence on stone free rate (86% prestented vs 74% not-prestented, p=0.0003) and complication rate (6.5% vs 14.5%, p=0.003) but not on surgery-time (55±36 vs 61±35 min, p=0.071). Subgrouped, this was also true for renal stones (83% vs 60%, p=0.0001, OR 3.15 [CI 1.77-5.62] / 8.7% vs 19.4%, p=0.02, 0.39 [CI 0.19-0.83] ). For ureteral stones, there was no significant influence on stone free rate (94% vs 90%, p=0.4, OR 1.63 [CI 0.63 - 4.22]), but significantly more complications (3.1% vs 10.7%, p=0.02, OR 0.27 [CI 0.08-0.86]) in the non-stented group.

CONCLUSION: Prestenting positively affects safety and efficacy of URS. This is more pronounced in the treatment of kidney stones compared with ureteral stones. Although the stone free rate for ureteral stones is comparable without prestenting, the complication rate is higher.

OriginalsprogEngelsk
TidsskriftJournal of Endourology
Vol/bind30
Udgave nummer3
Sider (fra-til)268-273
ISSN0892-7790
DOI
StatusUdgivet - 2016

Fingeraftryk

Kidney
Urolithiasis
Stents
Databases
Safety

Citer dette

Jessen, Jan Peter ; Breda, Alberto ; Brehmer, Marianne ; Liatsikos, Evangelos N ; Rodriguez , Felix Millan ; Osther, Palle Jørn Sloth ; Scoffone, Cesare Marco ; Knoll, Thomas. / International collaboration in Endourology : Multicenter evaluation of prestenting for ureterorenoscopy. I: Journal of Endourology. 2016 ; Bind 30, Nr. 3. s. 268-273.
@article{2884da05c13a4222873ee54812885c92,
title = "International collaboration in Endourology: Multicenter evaluation of prestenting for ureterorenoscopy",
abstract = "INTRODUCTION: Semirigid and flexible ureterorenoscopy (URS) are safe and efficient treatment options for urolithiasis of all localizations. Sometimes, a JJ-stent is placed in preparation of definitive treatment. Aim of our study was to evaluate the influence of prestenting on the outcome of URS.METHODS: We retrospectively analyzed 565 patients out of our prospective multicenter, multinational database who underwent URS for renal or ureteral stones from 06/2011 to 12/2013. Demographic and stone related data, surgery time, stone clearance and complications were evaluated. Statistical analysis was performed comparing the prestented and nonstented group.RESULTS: Demographic data, stone size and localization were comparable in both groups. 323 patients were prestented and 242 nonstented. Overall, prestenting had significant influence on stone free rate (86{\%} prestented vs 74{\%} not-prestented, p=0.0003) and complication rate (6.5{\%} vs 14.5{\%}, p=0.003) but not on surgery-time (55±36 vs 61±35 min, p=0.071). Subgrouped, this was also true for renal stones (83{\%} vs 60{\%}, p=0.0001, OR 3.15 [CI 1.77-5.62] / 8.7{\%} vs 19.4{\%}, p=0.02, 0.39 [CI 0.19-0.83] ). For ureteral stones, there was no significant influence on stone free rate (94{\%} vs 90{\%}, p=0.4, OR 1.63 [CI 0.63 - 4.22]), but significantly more complications (3.1{\%} vs 10.7{\%}, p=0.02, OR 0.27 [CI 0.08-0.86]) in the non-stented group.CONCLUSION: Prestenting positively affects safety and efficacy of URS. This is more pronounced in the treatment of kidney stones compared with ureteral stones. Although the stone free rate for ureteral stones is comparable without prestenting, the complication rate is higher.",
author = "Jessen, {Jan Peter} and Alberto Breda and Marianne Brehmer and Liatsikos, {Evangelos N} and Rodriguez, {Felix Millan} and Osther, {Palle J{\o}rn Sloth} and Scoffone, {Cesare Marco} and Thomas Knoll",
year = "2016",
doi = "10.1089/end.2015.0109",
language = "English",
volume = "30",
pages = "268--273",
journal = "Journal of Endourology",
issn = "0892-7790",
publisher = "Mary Ann Liebert Incorporated",
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}

Jessen, JP, Breda, A, Brehmer, M, Liatsikos, EN, Rodriguez , FM, Osther, PJS, Scoffone, CM & Knoll, T 2016, 'International collaboration in Endourology: Multicenter evaluation of prestenting for ureterorenoscopy', Journal of Endourology, bind 30, nr. 3, s. 268-273. https://doi.org/10.1089/end.2015.0109

International collaboration in Endourology : Multicenter evaluation of prestenting for ureterorenoscopy. / Jessen, Jan Peter; Breda, Alberto; Brehmer, Marianne; Liatsikos, Evangelos N; Rodriguez , Felix Millan; Osther, Palle Jørn Sloth; Scoffone, Cesare Marco; Knoll, Thomas.

I: Journal of Endourology, Bind 30, Nr. 3, 2016, s. 268-273.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - International collaboration in Endourology

T2 - Multicenter evaluation of prestenting for ureterorenoscopy

AU - Jessen, Jan Peter

AU - Breda, Alberto

AU - Brehmer, Marianne

AU - Liatsikos, Evangelos N

AU - Rodriguez , Felix Millan

AU - Osther, Palle Jørn Sloth

AU - Scoffone, Cesare Marco

AU - Knoll, Thomas

PY - 2016

Y1 - 2016

N2 - INTRODUCTION: Semirigid and flexible ureterorenoscopy (URS) are safe and efficient treatment options for urolithiasis of all localizations. Sometimes, a JJ-stent is placed in preparation of definitive treatment. Aim of our study was to evaluate the influence of prestenting on the outcome of URS.METHODS: We retrospectively analyzed 565 patients out of our prospective multicenter, multinational database who underwent URS for renal or ureteral stones from 06/2011 to 12/2013. Demographic and stone related data, surgery time, stone clearance and complications were evaluated. Statistical analysis was performed comparing the prestented and nonstented group.RESULTS: Demographic data, stone size and localization were comparable in both groups. 323 patients were prestented and 242 nonstented. Overall, prestenting had significant influence on stone free rate (86% prestented vs 74% not-prestented, p=0.0003) and complication rate (6.5% vs 14.5%, p=0.003) but not on surgery-time (55±36 vs 61±35 min, p=0.071). Subgrouped, this was also true for renal stones (83% vs 60%, p=0.0001, OR 3.15 [CI 1.77-5.62] / 8.7% vs 19.4%, p=0.02, 0.39 [CI 0.19-0.83] ). For ureteral stones, there was no significant influence on stone free rate (94% vs 90%, p=0.4, OR 1.63 [CI 0.63 - 4.22]), but significantly more complications (3.1% vs 10.7%, p=0.02, OR 0.27 [CI 0.08-0.86]) in the non-stented group.CONCLUSION: Prestenting positively affects safety and efficacy of URS. This is more pronounced in the treatment of kidney stones compared with ureteral stones. Although the stone free rate for ureteral stones is comparable without prestenting, the complication rate is higher.

AB - INTRODUCTION: Semirigid and flexible ureterorenoscopy (URS) are safe and efficient treatment options for urolithiasis of all localizations. Sometimes, a JJ-stent is placed in preparation of definitive treatment. Aim of our study was to evaluate the influence of prestenting on the outcome of URS.METHODS: We retrospectively analyzed 565 patients out of our prospective multicenter, multinational database who underwent URS for renal or ureteral stones from 06/2011 to 12/2013. Demographic and stone related data, surgery time, stone clearance and complications were evaluated. Statistical analysis was performed comparing the prestented and nonstented group.RESULTS: Demographic data, stone size and localization were comparable in both groups. 323 patients were prestented and 242 nonstented. Overall, prestenting had significant influence on stone free rate (86% prestented vs 74% not-prestented, p=0.0003) and complication rate (6.5% vs 14.5%, p=0.003) but not on surgery-time (55±36 vs 61±35 min, p=0.071). Subgrouped, this was also true for renal stones (83% vs 60%, p=0.0001, OR 3.15 [CI 1.77-5.62] / 8.7% vs 19.4%, p=0.02, 0.39 [CI 0.19-0.83] ). For ureteral stones, there was no significant influence on stone free rate (94% vs 90%, p=0.4, OR 1.63 [CI 0.63 - 4.22]), but significantly more complications (3.1% vs 10.7%, p=0.02, OR 0.27 [CI 0.08-0.86]) in the non-stented group.CONCLUSION: Prestenting positively affects safety and efficacy of URS. This is more pronounced in the treatment of kidney stones compared with ureteral stones. Although the stone free rate for ureteral stones is comparable without prestenting, the complication rate is higher.

U2 - 10.1089/end.2015.0109

DO - 10.1089/end.2015.0109

M3 - Journal article

C2 - 26582170

VL - 30

SP - 268

EP - 273

JO - Journal of Endourology

JF - Journal of Endourology

SN - 0892-7790

IS - 3

ER -