PMID- 29761227
OWN - NLM
STAT- MEDLINE
DCOM- 20190523
LR  - 20190523
IS  - 1433-8726 (Electronic)
IS  - 0724-4983 (Linking)
VI  - 36
IP  - 11
DP  - 2018 Nov
TI  - Outcome of flexible ureteroscopy for renal stone with overnight ureteral 
      catheterization: a propensity score-matching analysis.
PG  - 1871-1876
LID - 10.1007/s00345-018-2328-1 [doi]
AB  - PURPOSE: To evaluate the influence of overnight ureteral catheterization and 
      determine if routine long-term post-stenting can be avoided in flexible 
      ureterorenoscopy (fURS) procedure for kidney stone. METHODS: Three hundred 
      ninety-three patients who underwent single fURS for kidney stone between January 
      2013 and June 2016 at a single institute were retrospectively analyzed. The 
      stone-free (SF) and perioperative complication rates in patients with routine 
      long-term post-stenting after fURS (long-term stent group) were compared with 
      those of patients with overnight ureteral catheterization (short-term stent 
      group). Propensity score-matching analysis was used to adjust the difference in 
      baseline preoperative parameters between the two groups. All preoperative 
      parameters were chosen to develop the propensity score, and 74 patients in the 
      short-term stent group were retrospectively matched with the patients in the 
      long-term stent group at a 1:1 ratio. RESULTS: Patient characteristics included 
      age, sex, side of involvement, height, body weight, body mass index, number of 
      stone(s), stone volume, Hounsfield units of stone, preoperative white blood cell 
      count, preoperative C-reactive protein, preoperative creatinine, pretreatment, 
      pre-stenting, stenosis of the ureter, and procedure duration. The SF rates were 
      91.9 and 93.2% in the short-term and long-term stent groups, respectively. 
      Perioperative complications were 14.9 and 12.2%. No difference was noted between 
      the two groups in terms of SF and perioperative complication rates. CONCLUSIONS: 
      Short-term post-stenting using overnight ureteral catheterization in 
      uncomplicated cases after fURS for kidney stone was as effective as conventional 
      long-term post-stenting in reducing postoperative complications. These 
      preliminary data suggest the possibility that routine long-term post-stenting was 
      unnecessary.
FAU - Komeya, Mitsuru
AU  - Komeya M
AUID- ORCID: 0000-0002-0744-7492
AD  - Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 
      Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. 
      urology_ycu@yahoo.co.jp.
AD  - Department of Urology, Ohguchi East General Hospital, 2-19-1 Irie, Kanagawa-ku, 
      Yokohama, Kanagawa, 221-0014, Japan. urology_ycu@yahoo.co.jp.
FAU - Usui, Kimitsugu
AU  - Usui K
AD  - Department of Urology, Ohguchi East General Hospital, 2-19-1 Irie, Kanagawa-ku, 
      Yokohama, Kanagawa, 221-0014, Japan.
FAU - Asai, Takuo
AU  - Asai T
AD  - Department of Urology, Ohguchi East General Hospital, 2-19-1 Irie, Kanagawa-ku, 
      Yokohama, Kanagawa, 221-0014, Japan.
FAU - Ogawa, Takehiko
AU  - Ogawa T
AD  - Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 
      Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
FAU - Taguri, Masataka
AU  - Taguri M
AD  - Department of Biostatistics, Yokohama City University Graduate School of 
      Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
FAU - Kataoka, Koshi
AU  - Kataoka K
AD  - Department of Biostatistics, Yokohama City University Graduate School of 
      Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
FAU - Yao, Masahiro
AU  - Yao M
AD  - Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 
      Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
FAU - Matsuzaki, Junichi
AU  - Matsuzaki J
AD  - Department of Urology, Ohguchi East General Hospital, 2-19-1 Irie, Kanagawa-ku, 
      Yokohama, Kanagawa, 221-0014, Japan.
LA  - eng
PT  - Journal Article
DEP - 20180514
PL  - Germany
TA  - World J Urol
JT  - World journal of urology
JID - 8307716
SB  - IM
MH  - Adult
MH  - Aged
MH  - Endoscopy
MH  - Female
MH  - Humans
MH  - Kidney/surgery
MH  - Kidney Calculi/*surgery
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/epidemiology
MH  - Propensity Score
MH  - Retrospective Studies
MH  - Stents
MH  - Ureteroscopy/*methods
MH  - Urinary Catheterization/*methods
OTO - NOTNLM
OT  - Flexible ureterorenoscopy
OT  - Kidney stone
OT  - Lithotripsy
OT  - Post-stenting
OT  - Ureteroscopy
EDAT- 2018/05/16 06:00
MHDA- 2019/05/24 06:00
CRDT- 2018/05/16 06:00
PHST- 2018/02/05 00:00 [received]
PHST- 2018/05/08 00:00 [accepted]
PHST- 2018/05/16 06:00 [pubmed]
PHST- 2019/05/24 06:00 [medline]
PHST- 2018/05/16 06:00 [entrez]
AID - 10.1007/s00345-018-2328-1 [pii]
AID - 10.1007/s00345-018-2328-1 [doi]
PST - ppublish
SO  - World J Urol. 2018 Nov;36(11):1871-1876. doi: 10.1007/s00345-018-2328-1. Epub 
      2018 May 14.