Can We Identify Patients in Danger of Complications in Retrograde Intrarenal Surgery?—A Retrospective Risk Factors Analysis

Jakub Marek Ratajczak, Taras Hladun, Bartosz Krenz, Krzysztof Bromber, Maciej Salagierski and Michał Marczak
Additional contact information
Jakub Marek Ratajczak: Department of Management and Logistics in Health Care, Medical University of Lodz, 90-647 Lodz, Poland
Taras Hladun: Urology Department, Regional Specialized Hospital in Nowa Sól, 67-100 Nowa Sól, Poland
Bartosz Krenz: Urology Department, Regional Specialized Hospital in Nowa Sól, 67-100 Nowa Sól, Poland
Krzysztof Bromber: Urology Department, Regional Specialized Hospital in Nowa Sól, 67-100 Nowa Sól, Poland
Maciej Salagierski: Department of Urology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
Michał Marczak: Department of Management and Logistics in Health Care, Medical University of Lodz, 90-647 Lodz, Poland

IJERPH, 2022, vol. 19, issue 3, 1-14

Abstract: Retrograde intrarenal surgery (RIRS) is an innovative and effective method of kidney stones treatment, as it had great influence on the development of endoscopy in urology. The increasing prevalence of urolithiasis together with the rapid development of endourology leads to a rise in the number of procedures related to the disease. Flexible ureteroscopy is constantly being improved, especially regarding the effectiveness and safety of the procedure. The purpose of this study is to evaluate intraoperative and early post-operative complications of RIRS in the treatment of kidney stones. A retrospective analysis of medical records was performed. A series was comprised of 207 consecutive operations performed from 2017 to 2020. Complications occurred in 19.3% ( n = 40) of patients. Occurrence according to the Clavien-Dindo scale was: 11.1% for grade I, 5.8% for grade II and 2.4% for grade IV. Infectious complications included SIRS (5.3%, n = 11) and sepsis (2.4%, n = 5). Statistical analysis revealed a correlation between acute post-operative infections and positive midstream urine culture, history of chronic or recurrent urinary tract infections, and increased body mass index (BMI). Furthermore, a significant correlation was observed between pain requiring the use of opioids with BMI over 25. Consequently, history of urinary tract infections, positive pre-operative urine culture, and increased BMI are considered risk factors and require appropriate management.

Keywords: RIRS; fURS; ureteroscopy; urolithiasis; kidney stone; complications; infection; UTI; sepsis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/3/1114/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/3/1114/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:3:p:1114-:d:728853

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().