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Impact of retrograde flexible ureteroscopy and intracorporeal lithotripsy on kidney functional outcomes.
Hoarau, Nicolas; Martin, Francois; Lebdai, Souhil; Chautard, Denis; Culty, Thibaut; Azzouzi, Abdel Rahmene; Bigot, Pierre.
Afiliação
  • Hoarau N; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Martin F; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Lebdai S; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Chautard D; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Culty T; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Azzouzi AR; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
  • Bigot P; Département d'urologie, Hôpital universitaire d'Angers, Angers, France.
Int Braz J Urol ; 41(5): 920-6, 2015.
Article em En | MEDLINE | ID: mdl-26689517
OBJECTIVE: The aim of the study was to evaluate renal function and to identify factors associated with renal function deterioration after retrograde intrarenal surgery (RIRS) for kidney stones. MATERIALS AND METHODS: We retrospectively analyzed patients with renal stones treated by RIRS between January 2010 and June 2013 at a single institute. We used the National Kidney Foundation classification of chronic kidney disease (CKD) to classify Glomerular Filtration Rate (GFR) in 5 groups. The baseline creatinine level was systematically pre-operatively and post-operatively evaluated. All patients had a creatinine blood measurement in June 2013. A change toward a less or a more favorable GFR group following RIRS was considered significant. RESULTS: We included 163 patients. There were 86 males (52.8%) and 77 females (47.3%) with a mean age of 52.8±17 years. After a mean follow-up of 15.5±11.5 months, median GFR was not significantly changed from 84.3±26.2 to 84.9±24.5 mL/min (p=0.675). Significant renal function deterioration occurred in 8 cases (4.9%) and significant renal function amelioration occurred in 23 cases (14.1%). In univariate analysis, multiple procedures (p=0.023; HR: 5.4) and preoperative CKD (p=0.011; HR: 6.8) were associated with decreased renal function. In multivariate analysis these factors did not remain as predictive factors. CONCLUSION: Stone management with RIRS seems to have favorable outcomes on kidney function; however, special attention should be given to patients with multiple procedures and preoperative chronic kidney disease.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cálculos Renais / Litotripsia a Laser / Ureteroscopia / Rim Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int Braz J Urol Assunto da revista: UROLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: França País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cálculos Renais / Litotripsia a Laser / Ureteroscopia / Rim Tipo de estudo: Etiology_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int Braz J Urol Assunto da revista: UROLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: França País de publicação: Brasil