Comparative analysis of patients with primary episode of urinary stones disease and recurrent urolithiasis after ureteroscopic interventions

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Actuality. The incidence of urinary stone disease (USD) of the Russian Federation population has increased by approximately in 34,1% with manifestation at the age of 40 to 50 years. There is a high probability of recurrence with up to 50% experiencing a recurrence within 5 years. Despite the existing advances in the field of metaphylaxis of USD, surgical reinterventions are still performed.

Materials and methods. A total of 300 patients with urolithiasis were performed ureteroscopic interventions at S.S. Yudin City Clinical Hospital between September 2021 and November 2022. Depending on the episode of calculus formation, patients were divided into two groups – 184 (61.3%) patients with a first episode of USD and 116 (38.7%) cases of recurrence urolithiasis. All patients underwent multispiral computed tomography without the introduction of a contrast agent. To assess pain in renal colic, a visual analogue scale, a numeric pain rating scale and a faces pain scale were used.

Results. The median duration of surgery was 30 min in group 1 and 40 min in group 2. Long-term drainage of the urinary tract after removal of the calculus with internal ureteral stent was in 45 (24.5%) individuals of group 1 and in 43 (37.1%) individuals in group 2. Complications were assessed using PULS (Postureteroscopic Lesion Scale), Satava scale and Clavien-Dindo classification. There were no complications in 98,4% cases in patients with a first episode of USD and in 93,1% in patients with recurrence urolithiasis (p=0,03) due to Clavien-Dindo classification, in 97,8% and 87,9 % respectively (p=0,0007) due to Satava scale. The median time period for stent removal in group 1 was 4 days, and for group 2 - 15 days.

Conclusion. Ureteroscopic surgeries for patients with recurrent urolithiasis were associated with an increased risk of complications that require long-term drainage and endoscopic reinterventions and hospitalizations. Low patient compliance leads to development of recurrence urolithiasis.

Full Text

Restricted Access

About the authors

S. V. Kotov

N.I. Pirogov Russian National Research Medical University of Ministry of Health of Russia; N.I. Pirogov City Clinical Hospital No. 1 of the Moscow Healthcare Department

Email: urokotov@mail.ru

Dr. Sc., Full Prof.; Head of the department of urology and andrology faculty of medicine, N.I. Pirogov RNRMU, Head of the University Clinic of Urology N.I. Pirogov RNRMU, main specialist in urology in corporate group MEDCI

Russian Federation, Moscow; Moscow

A. A. Nemenov

N.I. Pirogov Russian National Research Medical University of Ministry of Health of Russia; S.S. Yudin City Clinical Hospital, Moscow Healthcare Department

Author for correspondence.
Email: nemenov.a@mail.ru

postgraduate of the department of urology and andrology faculty of medicine, N.I. Pirogov RNRMU;  urologist at the City Clinical Hospital named after S.S. Yudin

Russian Federation, Moscow; Moscow

R. A. Perov

N.I. Pirogov Russian National Research Medical University of Ministry of Health of Russia; S.S. Yudin City Clinical Hospital, Moscow Healthcare Department

Email: dr.perov@rambler.ru

PhD, assistant professor of the department of urology and andrology faculty of medicine; N.I. Pirogov RNRMU, department chief at the City Clinical Hospital named after S.S. Yudin

Russian Federation, Moscow; Moscow

N. M. Sokolov

N.I. Pirogov Russian National Research Medical University of Ministry of Health of Russia

Email: 4eaman@gmail.com

medical resident of the department of urology and andrology faculty of medicine, N.I. Pirogov RNRMU

Russian Federation, Moscow

References

  1. Scales C.D., Smith A.C., Hanley J.M., Saigal C.S. Prevalence of kidney stones in the United States. Eur Urol. 2012;62(1):160–165. Doi:10.1016/j. eururo.2012.03.052.
  2. Grigoriev N.A., Semenyakin I.V., Malkhasyan V.A., Gadzhiev N.K., Rudenko V.I. Urolithiasis. Urology. Application. 2016;2:37–39. Russian (Григорьев Н.А., Семенякин И.В., Малхасян В.А., Гаджиев Н.К., Руденко В.И. Мочекаменная болезнь. Урология. Приложение. 2016;2:37–39).
  3. Diana K. Bowen, Lihai Song, Jen Faerber et al. Retreatment after Ureteroscopy and Shockwave Lithotripsy: A Population-Based Comparative Effectiveness Study. J Urol. 2020; 203(6):1156–1162. doi: 10.1097/JU.0000000000000712.
  4. Trinchieri A., Ostini F., Nespoli R., Rovera F., Montanari E., Zanetti G. A prospective study of recurrence rate and risk factors for recurrence after a first renal stone. J Urol. 1999;162(1):27–30. doi: 10.1097/00005392-199907000-00007.
  5. Halbritter J., Seidel A., Müller L., Schönauer R., Hoppe B. Update on Hereditary Kidney Stone Disease and Introduction of a New Clinical Patient Registry in Germany. Frontiers in Pediatrics. 2018;6. doi: 10.3389/fped.2018.00047.
  6. Rule A.D., Lieske J.C., Li X., Melton L.J.3rd., Krambeck A.E., et al. The ROKS nomogram for predicting a second symptomatic stone episode. J Am Soc Nephrol. 2014;(12):2878–2886. doi: 10.1681/ASN.2013091011.
  7. Patti L., Leslie S.W. Acute Renal Colic. [Updated 2022 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431091/
  8. Wiest P.W., Locken J.A., Heintz P.H., et al. CT scanning: A major source of radiation exposure. Semin Ultrasound CT MRI. 2002; 23(5):402–410.
  9. Berkovitz N., Simanovsky N., Katz R., Salama S., Hiller N. Coronal reconstruction of unenhanced abdominal CT for correct ureteral stone size classification. Eur Radiol. 2010;20:1047–1051.
  10. Alleemudder A., Tai X.Y., Goyal A., Pati J. Raised white cell count in renal colic: is there a role for antibiotics? Urol Ann 2014;6:127–129.
  11. Assimos D., Krambeck A., Miller N.L., et al., Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol, 2016;96(4):1153–1160.
  12. Mittakanti H.R., Conti S.L., Pao A.C., et al. Unplanned Emergency Department Visits and Hospital Admissions Following Ureteroscopy: Do Ureteral Stents Make a Difference? Urology. 2018;117:44–49.
  13. Muslumanoglu A.Y., Fuglsig S., Frattini A., et al., Risks and Benefits of Postoperative Double-J Stent Placement After Ureteroscopy: Results from the Clinical Research Office of Endourological Society Ureteroscopy Global Study. J Endourol, 2017;31(5):446–451.
  14. Mammadov E.A., Dutov V.V., Bazaev V.V. Complications of contact ureterolithotripsy. Urology. 2017;4:113–119. Russian (Мамедов Э.А., Дутов В.В., Базаев В.В. Осложнения контактной уретеролитотрипсии. Урология. 2017;4:113–119. Doi: https://dx.doi.org/10.18565/urol.2017.4.113-119).
  15. Kotov S.V., Nemenov A.A., Perov R.A., Sokolov N.M. Systematic approach in the evaluation of ureteroscopic complications. Experimental and Clinical Urology, 2022;15(2)32-37; https://doi.org/10.29188/2222-8543-2022-15-2-32-37. Russian (Котов С.В., Неменов А.А., Перов Р.А., Соколов Н.М. Систематизированный подход в оценке уретероскопических осложнений. ЭКУ. 2022;2. doi: 10.29188/2222-8543-2022-15-2-32-37).
  16. de la Rosette J., Denstedt J., Geavlete P., Keeley F., Matsuda T., Pearle M., et al. The clinical research office of the Endourological Society ureteroscopy global study: indications, complications, and outcomes in 11,885 patients. J Endourol 2014;28(2):131–139. doi: 10.1089/end.2013.0436.
  17. Martov A.G., Ergakov D.V. Modern treatment of urinary stone disease: results improvement in the spotlight. Experimental and clinical urology 2020;(3):65–70. https://doi.org/10.29188/2222-8543-2020-12-3-65-70. Russian (Мартов А.Г., Ергаков Д.В. Современное лечение мочекаменной болезни: фокус на улучшении результатов. Экспериментальная и клиническая урология. 2020;(3):65–70. https://doi.org/10.29188/2222-8543-2020-12-3-65-70).
  18. Cherepanova E.V., Dzeranov N.K. Metaphylaxis of urolithiasis in outpatient settings. Experimental and clinical urology. 2010;3. Черепанова Е.В., Дзеранов Н.К. Метафилактика мочекаменной болезни в амбулаторных условиях. ЭКУ. 2010;3.
  19. Bao Y., Tu X., Wei Q. Water for preventing urinary stones. Cochrane Database of Systematic Reviews 2020, Issue 2. Art. No.: CD004292. doi: 10.1002/14651858.CD004292.pub4.
  20. WHO guidelines on physical activity and sedentary lifestyle: a brief overview [WHO guidelines on physical activity and sedentary behavior: at a glance]. Geneva: World Health Organization; 2020. License: CC BY-NC-SA 3.0 IGO. Russian (Рекомендации ВОЗ по вопросам физической активности и малоподвижного образа жизни: краткий обзор [WHO guidelines on physical activity and sedentary behaviour: at a glance]. Женева: Всемирная организация здравоохранения; 2020. Лицензия: CC BY-NC-SA 3.0 IGO).

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2024 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies