Play it safe: renal function after bilateral flexible ureteroscopy for kidney stones.
Kidney stone
Renal function
Risk factors
Ureteroscopy
Urolithiasis
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
09 Apr 2024
09 Apr 2024
Historique:
received:
13
06
2023
accepted:
05
03
2024
medline:
10
4
2024
pubmed:
10
4
2024
entrez:
9
4
2024
Statut:
epublish
Résumé
We searched for perioperative renal function deterioration risk factors in patients that underwent bilateral flexible ureteroscopy (fURS) for kidney stones. From August 2016 to February 2020, symptomatic patients > 18 years old with bilateral kidney stones up to 20 mm in each side were prospectively studied. Serum creatinine samples were collected on admission to surgery, immediate postoperative (IPO), on POD 3, 10, and 30. Estimated glomerular filtration rate (eGFR) was calculated using Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI) without a race coefficient. Thirty patients underwent bilateral fURS. Comparing to preoperative eGFR, median IPO and POD3 eGFR (p < 0.001) were significantly lower, and POD10 (p = 0.092) and POD30 (p = 0.648) were similar to preoperative eGFR. During follow-up, 22/30 (73.3%), 14/30 (46.7%), and 7/30 (23.3%) of the patients presented a decrease > 10% eGFR, > 20% eGFR, and > 30% eGFR, respectively. Multivariate analysis demonstrated that lower preoperative eGFR is a risk factor for eGFR < 60 mL/min/1.73 m Renal function suffers a reversible decrease after bilateral fURS. Our study suggests that adequate selection of patients and maintaining operative time < 120 min are relevant factors in preventing acute renal function deterioration following bilateral fURS.
Identifiants
pubmed: 38594574
doi: 10.1007/s00345-024-04924-3
pii: 10.1007/s00345-024-04924-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
226Subventions
Organisme : FAPESP
ID : 2014/05130-2
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Boyce CJ, Pickhardt PJ, Lawrence EM, Kim DH, Bruce RJ (2010) Prevalence of urolithiasis in asymptomatic adults: objective determination using low dose noncontrast computerized tomography. J Urol 183(3):1017–1021
doi: 10.1016/j.juro.2009.11.047
pubmed: 20092842
Gauhar V, Chew BH, Traxer O, Tailly T, Emiliani E, Inoue T et al (2023) Indications, preferences, global practice patterns and outcomes in retrograde intrarenal surgery (RIRS) for renal stones in adults: results from a multicenter database of 6669 patients of the global FLEXible ureteroscopy Outcomes Registry (FLEXOR). World J Urol 41(2):567–574
doi: 10.1007/s00345-022-04257-z
pubmed: 36536170
Sorensen MD, Harper JD, Borofsky MS, Hameed TA, Smoot KJ, Burke BH et al (2022) Removal of small, asymptomatic kidney stones and incidence of relapse. N Engl J Med 387(6):506–513
doi: 10.1056/NEJMoa2204253
pubmed: 35947709
pmcid: 9741871
Kim TJ, Lee IJ, Lee JK, Lee HM, Jeong CW, Hong SK et al (2019) Analysis of factors affecting re-admission after retrograde intrarenal surgery for renal stone. World J Urol 37(6):1205–1210
doi: 10.1007/s00345-018-2507-0
pubmed: 30283996
Danilovic A, Torricelli FCM, Marchini GS, Batagello C, Vicentini FC, Traxer O et al (2021) Prospective evaluation of bilateral retrograde intrarenal surgery: is it really safe? J Endourol 35(1):14–20
doi: 10.1089/end.2020.0611
pubmed: 32689826
Tokas T, Herrmann TRW, Skolarikos A, Nagele U (2019) (T.R.U.S.T.)-Group TaRiUSaT. Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology. World J Urol 37(1):125–131
doi: 10.1007/s00345-018-2378-4
pubmed: 29915945
Göger YE, Özkent MS, Kılınç MT, Erol E, Taşkapu HH (2023) Influencing factors of acute kidney injury following retrograde intrarenal surgery. World J Urol 41(3):857–864
doi: 10.1007/s00345-023-04301-6
pubmed: 36719465
Gross JB, Kokko JP (1976) The influence of increased tubular hydrostatic pressure on renal function. J Urol 115(4):427–432
doi: 10.1016/S0022-5347(17)59227-7
pubmed: 772239
Sener TE, Cloutier J, Villa L, Marson F, Butticè S, Doizi S et al (2016) Can we provide low intrarenal pressures with good irrigation flow by decreasing the size of ureteral access sheaths? J Endourol 30(1):49–55
doi: 10.1089/end.2015.0387
pubmed: 26381037
Sierra A, Corrales M, Kolvatzis M, Doizi S, Traxer O (2022) Real time intrarenal pressure control during flexible ureterorrenscopy using a vascular pressurewire: pilot study. J Clin Med 12(1):147
doi: 10.3390/jcm12010147
pubmed: 36614947
pmcid: 9821029
Horvath B, Kloesel B, Todd MM, Cole DJ, Prielipp RC (2021) The evolution, current value, and future of the American Society of Anesthesiologists physical status classification system. Anesthesiology 135(5):904–919
doi: 10.1097/ALN.0000000000003947
pubmed: 34491303
Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–383
doi: 10.1016/0021-9681(87)90171-8
pubmed: 3558716
Danilovic A, Rocha BA, Marchini GS, Traxer O, Batagello C, Vicentini FC et al (2019) Computed tomography window affects kidney stones measurements. Int Braz J Urol 45(5):948–955
doi: 10.1590/s1677-5538.ibju.2018.0819
pubmed: 31268643
pmcid: 6844354
Danilovic A, Cavalanti A, Rocha BA, Traxer O, Torricelli FCM, Marchini GS et al (2018) Assessment of residual stone fragments after retrograde intrarenal surgery. J Endourol 32(12):1108–1113
doi: 10.1089/end.2018.0529
pubmed: 30398369
Schoenthaler M, Wilhelm K, Kuehhas FE, Farin E, Bach C, Buchholz N et al (2012) Postureteroscopic lesion scale: a new management modified organ injury scale–evaluation in 435 ureteroscopic patients. J Endourol 26(11):1425–1430
doi: 10.1089/end.2012.0227
pubmed: 22698147
Danilovic A, Nunes E, Lipkin ME, Ferreira T, Torricelli FCM, Marchini GS et al (2019) Low dose fluoroscopy during ureteroscopy does not compromise surgical outcomes. J Endourol 33(7):527–532
doi: 10.1089/end.2018.0722
pubmed: 30793920
Hsu CY, Yang W, Parikh RV, Anderson AH, Chen TK, Cohen DL et al (2021) Race, genetic ancestry, and estimating kidney function in CKD. N Engl J Med 385(19):1750–1760
doi: 10.1056/NEJMoa2103753
pubmed: 34554660
pmcid: 8994696
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213
doi: 10.1097/01.sla.0000133083.54934.ae
pubmed: 15273542
pmcid: 1360123
Liu Y, Jian Z, Ma Y, Chen Y, Jin X, Zhou L et al (2021) Changes of renal function after retrograde intrarenal surgery using flexible ureteroscope in renal stone patients. Transl Androl Urol 10(6):2320–2331
doi: 10.21037/tau-20-1521
pubmed: 34295719
pmcid: 8261420
Alkan E, Avci E, Ozkanli AO, Acar O, Balbay MD (2014) Same-session bilateral retrograde intrarenal surgery for upper urinary system stones: safety and efficacy. J Endourol 28(7):757–762
doi: 10.1089/end.2013.0766
pubmed: 24624975
Huang Z, Fu F, Zhong Z, Zhang L, Xu R, Zhao X (2012) Flexible ureteroscopy and laser lithotripsy for bilateral multiple intrarenal stones: is this a valuable choice? Urology 80(4):800–804
doi: 10.1016/j.urology.2012.05.013
pubmed: 22743260
Yuruk E, Binbay M, Ozgor F, Erbin A, Berberoglu Y, Muslumanoglu AY (2014) Flexible ureterorenoscopy is safe and efficient for the treatment of kidney stones in patients with chronic kidney disease. Urology 84(6):1279–1284
doi: 10.1016/j.urology.2014.07.038
pubmed: 25283705
Bansal P, Bansal N, Sehgal A, Singla S (2016) Bilateral single-session retrograde intra-renal surgery: a safe option for renal stones up to 1.5 cm. Urol Ann 8(1):56–59
doi: 10.4103/0974-7796.163793
pubmed: 26834403
pmcid: 4719513
Ingimarsson JP, Rivera M, Knoedler JJ, Krambeck AE (2017) Same-session bilateral ureteroscopy: safety and outcomes. Urology 108:29–33
doi: 10.1016/j.urology.2017.06.027
pubmed: 28652165
Hoarau N, Martin F, Lebdai S, Chautard D, Culty T, Azzouzi AR et al (2015) Impact of retrograde flexible ureteroscopy and intracorporeal lithotripsy on kidney functional outcomes. Int Braz J Urol 41(5):920–926
doi: 10.1590/S1677-5538.IBJU.2014.0402
pubmed: 26689517
pmcid: 4756968
Atis G, Koyuncu H, Gurbuz C, Yencilek F, Arikan O, Caskurlu T (2013) Bilateral single-session retrograde intrarenal surgery for the treatment of bilateral renal stones. Int Braz J Urol 39(3):387–392
doi: 10.1590/S1677-5538.IBJU.2013.03.12
pubmed: 23849570
Drake T, Ali A, Somani BK (2015) Feasibility and safety of bilateral same-session flexible ureteroscopy (FURS) for renal and ureteral stone disease. Cent Eur J Urol 68(2):193–196
doi: 10.5173/ceju.2015.533
Geavlete B, Popescu RI, Multescu R, Iordache V, Popa GA, Georgescu D et al (2022) Bilateral same-session flexible ureteroscopy for renal stones: a feasible method. J Med Life 15(2):284–291
doi: 10.25122/jml-2021-0385
pubmed: 35419108
pmcid: 8999109
Ertaş K, Temiz MZ, Çolakerol A, Küçük SH, Şahan A, Yürük E (2020) Effects of flexible ureteroscopy on kidney: a prospective clinical trial. Turk J Urol 46(4):297–302. https://doi.org/10.5152/tud.2020.19195
doi: 10.5152/tud.2020.19195
pubmed: 32449673
pmcid: 7360167
Berardinelli F, Proietti S, Cindolo L, Pellegrini F, Peschechera R, Derek H et al (2016) A prospective multicenter European study on flexible ureterorenoscopy for the management of renal stone. Int Braz J Urol 42(3):479–486
doi: 10.1590/S1677-5538.IBJU.2015.0528
pubmed: 27286110
pmcid: 4920564