Abstract:
PURPOSE:There are a variety of ureteral access sheath (UAS) lengths (13-55 cm) and diameters (9.5/11.5F-16/18F) available in the market. However, urologists are faced with a dilemma when choosing the ideal UAS diameter. Thus, we evaluated a case-control study of the efficacy and safety of 12/14F and 14/16F UASs in flexible ureteroscopic lithotripsy. MATERIALS AND METHODS:A retrospective case-control study was evaluated with patients who were treated with flexible ureteroscopic lithotripsy for urinary calculi in a West China hospital from 2008 to 2017. Patients deployed a 12/14F UAS were divided into group A, and the others were divided into group B. The primary outcome was the postoperative infectious complication rate after the operation, including fever and sepsis. The second outcome included safety, lithotripsy time, and the stone-free rate. RESULTS:There were 1139 patients in total included in our study, with 593 patients divided into group A and 546 divided into group B. There was no significant difference between the baselines of the two groups' patients. The patients in group A had a significantly lower postoperative rate compared to the patients in group B (6.4% vs 1.6%). The 14/16F UAS also worked better in high-risk patients, such as patients with stones >2 cm or patients with infectious stones (7.6% vs 1.6%, 15.0% vs 3.1%, respectively). CONCLUSIONS:Our study found that the 14/16F UAS showed an obvious advantage in preventing postoperative infectious complications in flexible ureteroscopic lithotripsy compared to the 12/14F UAS.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Chen Y,Liao B,Feng S,Ye D,Zeng G,Wang K,Shi Mdoi
10.1089/end.2018.0222subject
Has Abstractpub_date
2018-10-01 00:00:00pages
923-927issue
10eissn
0892-7790issn
1557-900Xjournal_volume
32pub_type
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journal_title:Journal of endourology
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pub_type: 杂志文章
doi:10.1089/end.1993.7.527
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0410
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journal_title:Journal of endourology
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doi:10.1089/end.2011.0214
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0173
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.949
更新日期:2006-11-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0186
更新日期:2010-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0254
更新日期:2009-11-01 00:00:00
abstract::In the last three decades, minimally invasive techniques have progressed significantly, replacing traditional open surgery as the mainstay of stone disease surgical treatment. The challenge for the next millennium remains medical prevention of calcium urolithiasis, a field where less dramatic progress has been achieve...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1999.13.669
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:To assess the clinical efficacy and safety of photoselective laser vaporization of the prostate (PVP) in the treatment of patients with acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Forty-two patients (mean age 72 +/- 5 years, range 65-89) with AUR because ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0045
更新日期:2008-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2012-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
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更新日期:2009-12-01 00:00:00
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-07-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
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更新日期:2005-07-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0528
更新日期:2009-04-01 00:00:00
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更新日期:2018-06-01 00:00:00