KaydedilenlerDerginizi ekleyin

Dergiler / Endoüroloji Bülteni / 2026 / Cilt: 12 Sayı: 1

Üreteral Yaralanma, İmpakte Taşlara Üreteroskopik Litotripsi Sırasında Üreter Duvar Kalınlığı ile Artmaktadır

Ureteral Injury Increases with Ureteral Wall Thickness During the Ureteroscopic Lithotripsy of Impacted Stones

Mustafa Boz(Istanbul Medipol University, School of Medicine, Department of Urology, Istanbul)0000-0002-0159-2090
Vahit Güzelburç(İSTANBUL MEDİPOL ÜNİVERSİTESİ, TIP FAKÜLTESİ)
Gökhan Çalık(Istanbul Medipol University, School of Medicine, Department of Urology, Istanbul)
Mustafa Soytaş(Istanbul Medipol University, School of Medicine, Department of Urology, Istanbul)
Çağrı Kaçtan(Istanbul Medipol University, School of Medicine, Department of Urology, Istanbul)
Selçuk Güven(Istanbul Medipol University, School of Medicine, Department of Urology, Istanbul)0000-0002-5009-8435
Sayfa
9–14
Yayın Tarihi
2020-01-30
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Amaç: Bu çalışmada, üreter taşları için üreteroskopi uygulanan hastalarda üreter duvar kalınlığı ile üreter

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Amaç: Bu çalışmada, üreter taşları için üreteroskopi uygulanan hastalarda üreter duvar kalınlığı ile üreter
📊
Temel Bulgular & Veri:Amaç: Bu çalışmada, üreter taşları için üreteroskopi uygulanan hastalarda üreter duvar kalınlığı ile üreter
💡
Sonuç & Katkı:Amaç: Bu çalışmada, üreter taşları için üreteroskopi uygulanan hastalarda üreter duvar kalınlığı ile üreter
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Üreter yaralanması · impakte taş · üreteroskopi

Özet

Amaç: Bu çalışmada, üreter taşları için üreteroskopi uygulanan hastalarda üreter duvar kalınlığı ile üreter

Abstract

Aim: In this study, along with the patient and stone related features, we evaluated the possible relation of ureteral wall thickness and ureteral injury with stone free rates in patients who had undergone ureteroscopy for ureteral stones. Material and Methods: 120 cases (71.7%, male) who underwent ureteroscopic laser lithotripsy between October 2014 and November 2015 was enrolled to this study. Pre-, intra- and postoperative patient characteristics, including impacted stoneevaluation was done in all patients. Ureteral wall thickness was calculated at the stone site with the help of CT images. Ureteral lesions were graded according to Postureteroscopic Lesion Scale (PULS). Hospitalization time stone burden, stone clearance, and complications according to Clavien classification system were recorded. Results: 38 patients among 120 patients had impacted ureteral stones. Vast majority of the stones were located in the lower ureter (%75.8). Mean ureteral wall thickness was 2.75±0.97 mm. A grade 1 lesion was seen in 64 (53.3%) and grade 2 lesion in 2 patients (1.7%). While there was weak relation between stone size and ureteral wall thickness (p=0.011), either location or hydronephrosis degree did not show relation with ureteral wall thickness. Ureteral lesions was increasing with ureteral wall thickening (p=0.044). Ureteral wall thickness was larger in impacted stone patients and PULS grade was higher as well. Conclusion: Ureteral wall injuries may happen during ureteroscopic stone management which can be standardized and classified with PULS. Among the stone and patient related factors ureteral wall thickness and impacted stones had significant correlation with ureteral lesion. Considering these factors in the preoperative planning may increase the safety of the ureteroscopy process.

🔖

Bu Makaleye Atıf Yap

Boz, M., Güzelburç, V., Çalık, G., Soytaş, M., Kaçtan, Ç., Güven, S. (2020). Üreteral Yaralanma, İmpakte Taşlara Üreteroskopik Litotripsi Sırasında Üreter Duvar Kalınlığı ile Artmaktadır. Endoüroloji Bülteni, Cilt: 12 Sayı: 1, 9–14. https://ajindex.com/articles/1479129

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (12)

  1. Traxer O, Thomas A (2013) Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 189(2):580-4. https://doi:10.1016/j.juro.2012.08.197
  2. Schoenthaler M, Wilhelm K, Kuehhas FE, Farin E, Bach C, Buchholz N, Miernik A (2012) Postureteroscopic lesion scale: a new management modified organ injury scale--evaluation in 435 ureteroscopic patients. J Endourol 26(11):1425-30. https://doi:10.1089/end.2012.0227
  3. Schoenthaler M, Buchholz N, Farin E, Ather H, Bach C, Bach T, Denstedt JD, Fritsche HM, Grasso M, Hakenberg OW, Herwig R, Knoll T, Kuehhas FE, Liatsikos E, Liske P, Marberger M, Osther PJ, Santos JM, Sarica K, Seitz C, Straub M, Traxer O, Trinchieri A, Turney B, Miernik A (2014) The Post-Ureteroscopic Lesion Scale (PULS): a multicenter video-based evaluation of inter-rater reliability. World J Urol 32(4):1033-40. https://doi: 10.1007/s00345-013-1185-1
  4. Guzelburc V, Guven S, Boz MY, Erkurt B, Soytas M, Altay B, Albayrak S (2016) Intraoperative Evaluation of Ureteral Access Sheath-Related Injuries Using Post-Ureteroscopic Lesion Scale. J Laparoendosc Adv Surg Tech A 26(1):23-6. https://doi: 10.1089/lap.2015.0294
  5. Sarica K, Kafkasli A, Yazici Ö, Çetinel AC, Demirkol MK, Tuncer M, Şahin C, Eryildirim B (2015) Ureteral wall thickness at the impacted ureteral stone site: acritical predictor for success rates after SWL. Urolithiasis 4 (1):83-8. https://doi: 10.1007/s00240-014-0724-6.
  6. Elibol O, Safak KY, Buz A, Eryildirim B, Erdem K, Sarica K (2017) Radiological noninvasive assessment of ureteral stone impaction into the ureteric wall: A critical evaluation with objective radiological parameters. Investig Clin Urol 58(5):339-345. https://doi: 10.4111/icu.2017.58.5.339
  7. Coleman S.L., Monga M (2015) Difficult Case: The Impacted Ureteral Stone. In: Patel S., Nakada S. (eds) Ureteral Stone Management. Springer, Cham
  8. Morgentaler A, Bridge SS, Dretler SP (1990) Management of the impacted ureteral calculus. J Urol 143:263–6.
  9. Mugiya S, Maruyama S, Hadano S, Nagae H (2004) Endoscopic features of impacted ureteral stones. J Urol 171:89–91
  10. Huffman JL, Bagley DH, Lyon ES (1985) Abnormal ureter and intrarenal collecting system. In: Urologic endoscopy: a manual and atlas. Boston: Little Brown and Co, pp 59–73. Chapter 6.
  11. Perez Castro E, Osther PJ, Jinga V, Razvi H, Stravodimos KG, Parikh K, Kural AR, de la Rosette JJ (2014) CROES Ureteroscopy Global Study Group. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations: the Clinical Research Office of the Endourological Society ureteroscopy global study. Eur Urol. 66(1):102-9. https://doi: 10.1016/j.eururo.2014.01.011.
  12. Chew B.H., Paterson R.F., Lange D (2015) Ureteral Stents. In: Patel S., Nakada S. (eds) Ureteral Stone Management. Springer, Cham