Factors Affecting Complication Rates of Ureteroscopic Lithotripsy in Children: Results of Multi-Institutional Retrospective Analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society

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dc.contributor.authorDogan, Hasan Serkan
dc.contributor.authorOnal, Bulent
dc.contributor.authorSatar, Nihat
dc.contributor.authorAygun, Cem
dc.contributor.authorPiskin, Mesut
dc.contributor.authorTanriverdi, Orhan
dc.contributor.authorGurocak, Serhat
dc.date.accessioned2020-03-26T18:14:40Z
dc.date.available2020-03-26T18:14:40Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: We evaluated factors affecting complication rates of ureteroscopy for pediatric ureteral calculi. Materials and Methods: We retrospectively evaluated 642 children who underwent ureteroscopy at 16 Turkish centers between 2000 and 2010. Semirigid ureteroscopy was used with various calibers to treat 670 ureteral units in 660 sessions. Complications were evaluated according to the Satava and Clavien classification systems. Univariate and multivariate analyses were done to determine predictive factors affecting complication rates. Results: A total of 367 females and 265 males were studied. Mean +/- SD patient age was 90.2 +/- 51.4 months (range 4 to 204). Mean +/- SD stone size, operative time and postoperative hospital stay were 8.9 +/- 4.7 mm, 45.8 +/- 23.8 minutes and 1.8 +/- 2.8 days, respectively. At a mean +/- SD followup of 13.3 +/- 17.6 months 92.8% of patients were stone-free and efficacy quotient was 90.3%. Complications, which occurred in 8.4% of patients (54 of 642), were intraoperative in 25 (Satava grade I to II in 22), early postoperative in 25 (Clavien grade I to II in 23) and late postoperative in 4 (all grade III). While operative time, age, institutional experience, orifice dilation, stenting and stone burden were statistically significant on univariate analysis, multivariate analysis revealed that operative time was the only statistically significant parameter affecting the complication rate. Conclusions: Semirigid ureteroscopy is effective, with a 90% stone-free rate and efficacy quotient. Most complications are low grade and self-limiting. Our results confirm that prolonged operative time is an independent predictor of complications, and should be considered when choosing and performing the treatment modality.en_US
dc.identifier.doi10.1016/j.juro.2011.04.097en_US
dc.identifier.endpage1040en_US
dc.identifier.issn0022-5347en_US
dc.identifier.issue3en_US
dc.identifier.pmid21784482en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1035en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.juro.2011.04.097
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26492
dc.identifier.volume186en_US
dc.identifier.wosWOS:000293688300097en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofJOURNAL OF UROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectlithotripsyen_US
dc.subjectpediatricsen_US
dc.subjectureteren_US
dc.subjectureteroscopyen_US
dc.subjecturinary calculien_US
dc.titleFactors Affecting Complication Rates of Ureteroscopic Lithotripsy in Children: Results of Multi-Institutional Retrospective Analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Societyen_US
dc.typeArticleen_US

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