Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients
Objective: The objective of the study was to determine the efficacy and safety of flexible ureteroscopy (F-URS) for the management of intrarenal or proximal ureteral lithiasis in aged patients. Materials and methods: In this retrospective, multicenter observational study, we collected the anonymized...
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Sociedad Colombiana de Urología
2024-01-01
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| Series: | Urología Colombiana |
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| author | Jeffer D. Álvarez-Villarraga Herney A. García-Perdomo Héctor A. Ramírez-Vásquez Jorge E. Palacios-Riascos Andrea López-Sanmiguel |
| author_facet | Jeffer D. Álvarez-Villarraga Herney A. García-Perdomo Héctor A. Ramírez-Vásquez Jorge E. Palacios-Riascos Andrea López-Sanmiguel |
| author_sort | Jeffer D. Álvarez-Villarraga |
| collection | DOAJ |
| description | Objective: The objective of the study was to determine the efficacy and safety of flexible ureteroscopy (F-URS) for the management of intrarenal or proximal ureteral lithiasis in aged patients. Materials and methods: In this retrospective, multicenter observational study, we collected the anonymized clinical data of patients who underwent F-URS at two institutions in Cali, Colombia between June 2015 and May 2018. The patients were divided into two groups based on age: Group A defined as aged patients (> 65 years) and Group B as patients of non-advanced age (< 65 years). Results: A total of 201 patients were included in this study. The average age for Group A was 75 years (± 4.5) and for Group B was 51 years (± 10). The anesthetic risk classification (American Society of Anesthesiology [ASA]) and comorbidities were significantly higher for Group A with an ASA II and III of 74% versus 50% in Group B. No significant differences were shown in the stone-free rates (SFRs) or significant ureteral injury (Grade III and IV). There was no difference in intraoperative or post-operative complications between both groups. Conclusions: Age > 65 years was not associated with a negative impact on the outcomes of F-URS for the management of intrarenal or proximal ureteral lithiasis in this cohort of patients. F-URS appears as a safe and effective procedure and should not be withheld from older patients.
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| format | Article |
| id | doaj-art-3189eebbca4249a5a4db762314930b91 |
| institution | Kabale University |
| issn | 0120-789X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sociedad Colombiana de Urología |
| record_format | Article |
| series | Urología Colombiana |
| spelling | doaj-art-3189eebbca4249a5a4db762314930b912025-02-03T05:39:10ZengSociedad Colombiana de UrologíaUrología Colombiana0120-789X2024-01-01331Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patientsJeffer D. Álvarez-Villarraga0Herney A. García-Perdomo1Héctor A. Ramírez-Vásquez2Jorge E. Palacios-Riascos3Andrea López-Sanmiguel4Departamento de Urología, Clínica DESA, Cali, ColombiaUROGIV Research Group; Department of Surgery, Division of Urology/Urooncology; School of Medicine, Universidad Del Valle, Cali, ColombiaDepartamento de Cirugía, Clínica DESA, Cali. ColombiaDepartamento de Cirugía, Clínica DESA, Cali, ColombiaFacultad de Medicina, Pontificia Universidad Javeriana, Bogotá, ColombiaObjective: The objective of the study was to determine the efficacy and safety of flexible ureteroscopy (F-URS) for the management of intrarenal or proximal ureteral lithiasis in aged patients. Materials and methods: In this retrospective, multicenter observational study, we collected the anonymized clinical data of patients who underwent F-URS at two institutions in Cali, Colombia between June 2015 and May 2018. The patients were divided into two groups based on age: Group A defined as aged patients (> 65 years) and Group B as patients of non-advanced age (< 65 years). Results: A total of 201 patients were included in this study. The average age for Group A was 75 years (± 4.5) and for Group B was 51 years (± 10). The anesthetic risk classification (American Society of Anesthesiology [ASA]) and comorbidities were significantly higher for Group A with an ASA II and III of 74% versus 50% in Group B. No significant differences were shown in the stone-free rates (SFRs) or significant ureteral injury (Grade III and IV). There was no difference in intraoperative or post-operative complications between both groups. Conclusions: Age > 65 years was not associated with a negative impact on the outcomes of F-URS for the management of intrarenal or proximal ureteral lithiasis in this cohort of patients. F-URS appears as a safe and effective procedure and should not be withheld from older patients. https://www.urologiacolombiana.com/frame_eng.php?id=35Ureteroscopy. Lithotripsy. Laser. Urinary calculi. Aged. |
| spellingShingle | Jeffer D. Álvarez-Villarraga Herney A. García-Perdomo Héctor A. Ramírez-Vásquez Jorge E. Palacios-Riascos Andrea López-Sanmiguel Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients Urología Colombiana Ureteroscopy. Lithotripsy. Laser. Urinary calculi. Aged. |
| title | Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| title_full | Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| title_fullStr | Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| title_full_unstemmed | Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| title_short | Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| title_sort | assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients |
| topic | Ureteroscopy. Lithotripsy. Laser. Urinary calculi. Aged. |
| url | https://www.urologiacolombiana.com/frame_eng.php?id=35 |
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