Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital

altintas, ramazan; Ediz, Caner; tasdemir, cemal; ÇAMTOSUN, Ahmet; ÇELİK, Hüseyin; Topçu, İbrahim

Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital

Hüseyin ÇELİK, (Sağlık Bakanlığı, Osmaniye Devlet Hastanesi, Üroloji Kliniği, Osmaniye, Türkiye)

Ahmet ÇAMTOSUN, (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Üroloji Anabilim Dalı, Malatya, Türkiye)

Caner EDİZ, (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Üroloji Anabilim Dalı, Malatya, Türkiye)

İbrahim TOPÇU, (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Üroloji Anabilim Dalı, Malatya, Türkiye)

Ramazan ALTINTAŞ, (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Üroloji Anabilim Dalı, Malatya, Türkiye)

Cemal TAŞDEMİR (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Üroloji Anabilim Dalı, Malatya, Türkiye)

Dicle Tıp Dergisi

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Yıl: 2016 Cilt: 43 Sayı: 1 Sayfa Aralığı: 39 - 42 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital

Öz:

Amaç: Çalışmanın amacı, taş hastalığının endemik ol- duğu ve sık üreterorenoskopi yapılan iki farklı şehirdekiüniversite hastanesi ve devlet hastanesinde yapılan üre- terorenoskopik litotripsi sonrası üreteral stent yerleştirmesıklığının karşılaştırılmasıdır. Yöntemler: İki bin on dört Ocak ayı ile 2014 Mayıs ta- rihleri arasında İnönü üniveritesi Turgut Özal Tıp MerkeziHastanesi (TÖTM) ve Osmaniye Devlet Hastanesi (ODH)üroloji kliniklerine başvuran hastalar retrospektif olarakdeğerlendirildi. Üreteral taşa bağlı olarak üreteroskopiklitotripsi yapılan hastalar taş lokalizasyonu, boyutu, ektazidereceleri ve stent yerleştirilme durumuna göre değerlen- dirildi. Bulgular: Her iki hastaneden 92 şer hasta çalışmayaalındı. Endoskopik üreteral taş tedavisi sonrası TÖTMde85 ve ODHde 82 hastaya DJ stent yerleştirildi. Üniversitehastanesinde stent yerleştirilme sıklığı devlet hastanesin- de yüksek çıksa da istatiksel anlamlılık yoktu. Her iki gruparasında ortalama operasyon süreleri arasında istatikselanlamlılık vardı. Sonuç: Endoskopik üreter taşı tedavisi sonrası DJ stentyerleştirilmesi çok sık uygulanmaktadır. Bizim çalışma- mıza göre üniversite hastanelerinde devlet hastanelerinegöre daha sık DJ stent yerleştirilmesi yapılmaktadır. Bu- nun nedeni üniversite hastanelerinin son basamak mer- kezler olmasından dolayı daha komplike hastaların bumerkezlere refere edilmesi olabilir. Bu durumun daha netaydınlatılabilmesi için, prospektif, çok merkezli ve dahageniş serili çalışmalara ihtiyaç duyulmaktadır

Anahtar Kelime:

Konular: Cerrahi

Bir Üniversite ve Devlet Hastanesi Üreteroskopik Litotripsi Sonrası Stent Yerleştirilme Sıklığı

Öz:

Objective: The aim of this study was to compare frequen- cy of ureteral stent placement after ureteroscopic litho- tripsy in a university and a state hospital of two differentcities, which are endemic in terms of stone and often ure- terolithotripsy was performed for urolithiasis treatment. Methods: The patients who applied in to urology clinic ofInonu University Turgut Ozal Medical Center (TOMC) andurology clinic of Osmaniye State Hospital (OSH) betweenJanuary 2014 and May 2014 were evaluated retrospec- tively. The patients who underwent ureteroscopic lithotrip- sy due to ureteral stone, were evaluated stone locations,stone sizes, grades of pelvicaliectasia and ureteral stentplacement status.Results: About 92 patients were enrolled into the studyfrom the both hospital. After the endoscopic ureteral stonetreatment, Double J stent was placed in 85 patients inTOMC (92.3%) and 82 patients in OSH (89.1%). Stent im- plantation rate in the university hospital was higher thanthe state hospital but this was not statistically significant.There was a statistically meaningful difference in meanoperative time between the 2 groups. Conclusion: Double J stent placament is recently per- formed too often after the endoscopic ureteral stone treat- ment. According to our study, university hospitals have ahigher rate of incidence of double j stent placement ac- cording to state hospitals. It can be reason for that, uni- versity hospitals as the last line treatment centers, morecomplicated cases that refer to these centers. But in thismatter, prospective, multicenter and larger series studiesare needed

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Bagley DH. Indications of ureteropyeloscopy. In Huffman Bagley DHLyon ES.eds Ureteroscopy Philadelphia WB Saunders, 1988 b, PP51-72 2. Weimin Yu, Cheng F, Zhang X, et al. Retrograde uretero- scopic treatment for upper ureteral stones: A 5 Year Retro- spective study. J Endourol 2010;24:1753-1757. 3. Manan A, Anwar MS, Shah AA, et al. Efficacy of pneumatic lithoclast in the management of ureteric calculi. www.sims. edu.pk/esculapio.html:29-32. 4. Gerber GS, Stockton BR. Use of stents after ureteroscopic stone removal. J Endourol 2006;20:383-385. 5. Knoll T. Arbeitskreis Harnsteine der Akademie der Deutschen Urologen, Arbeitskreis Endourologie und Steinerkrankung der Osterreichischen Gesellschaft fuer Urologie. S2 guide- lines on diagnostic, therapy and metaphylaxis of urolithia- sis : part 1: diagnostic and therapy. Urologe A 2009;48:917- 924. 6. Preminger GM, Tiselius HG, Assimos DG, et al. Guideline for the management of ureteral calculi. J Urol 2007;178:2418- 2434. 7. Strope SA, Wolf JS Jr, Hollenbeck BK. Changes in gender distribution of urinary stone disease. Urology 2010;75:543- 546. 8. Efekli A, Tok A, Altunrende F, et al. Life style and nutritional habits in cases with urinary stone disease. Türk Üroloji Dergisi 2005;31:113-118. 9. Byrni RR, Auge BK, Kourambas J, et al. Routine Ureteral Stenting is Not Necessary after Ureteroscopy and Uretero- pyeloscopy: A Randomized Trial. J Endourol 2002;16:9-13. 10. Srivastava A, Gupta R, Kumar A et al. Routine Stenting after Ureteroscopy for Distal Ureteral Calculi Is Unneces- sary: Results of a Randomized Controlled Trial. J Endourol 2003;17:871-874. 11. Lingeman JE, Preminger GM, Berger Y, et al: Use of a temporary ureteral drainage stent after uncomplicated ure- teroscopy: Results from a Phase II Clinical Trial. J Urol 2003;169:1682-1688. 12. Chen YT, Chen J, Wong WY, et al. Is ureteral stent- ing necessary after uncomplicated ureteroscopic litho- tripsy? a prospective, randomized controlled trial. J Urol 2002;167:1977-1980. 13. Novac C, Pricop C, Costache C, et al. Ureteral stenting after retrograde ureteroscopy. Experience of Iasi urological de- partment. Rev Med Chir Soc Med Nat Iasi 2003;107:153- 156.

APA	ÇELİK H, ÇAMTOSUN A, Ediz C, Topçu İ, altintas r, tasdemir c (2016). Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. , 39 - 42.
Chicago	ÇELİK Hüseyin,ÇAMTOSUN Ahmet,Ediz Caner,Topçu İbrahim,altintas ramazan,tasdemir cemal Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. (2016): 39 - 42.
MLA	ÇELİK Hüseyin,ÇAMTOSUN Ahmet,Ediz Caner,Topçu İbrahim,altintas ramazan,tasdemir cemal Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. , 2016, ss.39 - 42.
AMA	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. . 2016; 39 - 42.
Vancouver	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. . 2016; 39 - 42.
IEEE	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c "Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital." , ss.39 - 42, 2016.
ISNAD	ÇELİK, Hüseyin vd. "Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital". (2016), 39-42.

APA	ÇELİK H, ÇAMTOSUN A, Ediz C, Topçu İ, altintas r, tasdemir c (2016). Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi, 43(1), 39 - 42.
Chicago	ÇELİK Hüseyin,ÇAMTOSUN Ahmet,Ediz Caner,Topçu İbrahim,altintas ramazan,tasdemir cemal Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi 43, no.1 (2016): 39 - 42.
MLA	ÇELİK Hüseyin,ÇAMTOSUN Ahmet,Ediz Caner,Topçu İbrahim,altintas ramazan,tasdemir cemal Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi, vol.43, no.1, 2016, ss.39 - 42.
AMA	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi. 2016; 43(1): 39 - 42.
Vancouver	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi. 2016; 43(1): 39 - 42.
IEEE	ÇELİK H,ÇAMTOSUN A,Ediz C,Topçu İ,altintas r,tasdemir c "Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital." Dicle Tıp Dergisi, 43, ss.39 - 42, 2016.
ISNAD	ÇELİK, Hüseyin vd. "Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital". Dicle Tıp Dergisi 43/1 (2016), 39-42.