Ureteroscopy in the elderly: safety and functional results
- 19.06.2023
- Original Article
Erschienen in:
- Verfasst von
- Ilona Pilosov Solomon
- Ilan Klein
- Yuval Friefeld
- Rani Zreik
- Gazi Fares
- Yoram Dekel
- Erschienen in
- World Journal of Urology | Ausgabe 8/2023
Abstract
Purpose
To evaluate the effectiveness and safety of ureteroscopy (URS) for urinary stones treatment in patients ≥ 80 years of age.
Methods
From 2012 to 2021, 96 patients ≥ 80 years underwent URS for urinary stone disease. Patients’ demographics and surgical outcomes were examined.
Results
The median length of follow-up was 25 months. Median age was 84 years. Half of the patients (53%) were ASA score 3 and 16% ASA 4. Mean stone diameter (SD) was 10.6 mm, and mean procedure time was 78 min. Eighty-three patients underwent follow-up imaging (ultrasonography or computed tomography) with a median time of 31 days. Stone-free rate was 73.9%. Twenty patients (20.7%) experienced a minor complication [Clavien-Dindo (CD) I–II] whereas five (5.7%) experienced a major complication (CD III–V). SD ≥ 10 mm predicted CD III–V complications (OR 1.25, 95% CI 1.01–1.55, p = 0.03). Urinary drainage prior the procedure with double J stent, nephroureteral stent or percutaneous nephrostomy tube had no impact on patients’ SFR [74.6% in the drained group versus 64.0% in the undrained group (p = 0.44)] nor on major complications (OR 4.68, 95% CI 0.25–87.77, p = 0.30).
Conclusion
In elderly patients, URS for treatment of renal and ureteral stones is a relatively efficient and safe procedure. The risk of major complications is low, and the only associated risk factor found was SD ≥ 10 mm. Urinary drainage prior the procedure did not affect patients’ outcomes.
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- Titel
- Ureteroscopy in the elderly: safety and functional results
- Verfasst von
-
Ilona Pilosov Solomon
Ilan Klein
Yuval Friefeld
Rani Zreik
Gazi Fares
Yoram Dekel
- Publikationsdatum
- 19.06.2023
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
World Journal of Urology / Ausgabe 8/2023
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726 - DOI
- https://doi.org/10.1007/s00345-023-04463-3
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