Impact of pre-stenting and bladder dranaige on intrapelvic pressure during retrograde intrarenal surgery

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dc.authorid0000-0001-5143-6507
dc.contributor.authorYeni, Sezgin
dc.contributor.authorKılıçarslan, Hakan
dc.contributor.authorOcakoğlu, Gökhan
dc.contributor.authorCoşkun, Burhan
dc.contributor.authorÇiçek, Mehmet Çağatay
dc.contributor.authorGünseren, Kadir Ömür
dc.contributor.authorYavaşçaoğlu, İsmet
dc.contributor.authorid278343
dc.date.accessioned2025-02-19T08:10:50Z
dc.date.available2025-02-19T08:10:50Z
dc.date.issued2024-12
dc.departmentFakülteler, Meslek Yüksekokulu, İlk ve Acil Yardım Bölümü
dc.descriptionEmerging Sources Citation Index (ESCI)
dc.description.abstractPurpose: This study aims to assess the effect of pre-stenting and bladder drainage on intrapelvic pressure (IP) during Retrograde Intrarenal Surgery (RIRS). Methods: Eighty-five consecutive patients were prospectively enrolled and meticulously recorded in a data form. Forty-two patients meeting the inclusion criteria after applying exclusion factors. The patients were divided into two groups: Group 1 (21 patients with preoperative JJ stents) and Group 2 (21 patients without preoperative JJ stents). IP was measured during RIRS, and the impact of various factors, including pre-stenting, bladder drainage and hydronephrosis (HN) grade, on IP was analysed through univariate and multiple linear regression. Results: The perioperative mean highest IP (78 ± 18.2 mmHg vs. 110 ± 23.9 mmHg), median lowest IP (29 mmHg vs. 42 mmHg) and median overall IP (41 mmHg vs. 69 mmHg) were significantly lower in Group 1 compared to Group 2 (all p < 0.001). Multivariate analysis showed that pre-stenting and mild HN (Grade 0–1) were independent predictors of reduced IP. Conclusion: Pre-stenting led to a significant reduction in IP during RIRS, likely due to passive ureteral dilation. Additionally, bladder drainage with urethral catheter further decreased IP. These findings suggest that pre-stenting and bladder drainage should be considered as strategies to reduce IP during RIRS, potentially improving surgical outcomes.
dc.identifier.citationYeni, S., Kilicarslan, H., Ocakoglu, G., Coskun, B., Cicek, M. C., Gunseren, K. O., Yavascaoglu, I., & Kaygisiz, O. (2025). Impact of pre-stenting and bladder dranaige on intrapelvic pressure during retrograde intrarenal surgery. BJUI compass, 6(2), 1-6. https://doi.org/10.1002/bco2.490
dc.identifier.doi10.1002/bco2.490
dc.identifier.endpage6
dc.identifier.issn2688-4526
dc.identifier.issue2
dc.identifier.pmid39917584
dc.identifier.scopus2-s2.0-85216787035
dc.identifier.startpage1
dc.identifier.urihttps://dspace.mudanya.edu.tr/handle/20.500.14362/270
dc.identifier.volume6
dc.identifier.wosWOS:001414214100001
dc.identifier.wosqualityQ2
dc.institutionauthorYeni, Sezgin
dc.language.isoen
dc.publisherWiley
dc.relation.journalBJUI Compass
dc.relation.publicationcategoryMakale- Uluslararası- Hakemli Dergi- Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectdouble J stent catheter
dc.subjectIntrapelvic pressure
dc.subjectlaser stone lithotripsy
dc.subjectRIRS
dc.subjectUretral bladder catheter
dc.titleImpact of pre-stenting and bladder dranaige on intrapelvic pressure during retrograde intrarenal surgery
dc.typeMakale
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