Factors Associated the Success of Uretero-Renoscopic Lithotripsy in One Day Surgery
Keywords:
uretero-renoscopic lithotripsy, one-day surgery, ureteric calculiAbstract
Urolithiasis is a high prevalent disease that impact to the health resources in Thailand. One-day uretero-renoscopic lithotripsy is one of the surgical procedures that can relieve this problem. The purposes of this study were to explore the outcomes and identify factors associated with the success of one-day uretero-renoscopic lithotripsy in ureteric calculi treatment. It was conducted as a prospective cohort study in 65 patients with ureteric calculi treated with uretero-renoscopic lithotripsy at Udon Thani and Nongbualamphu hospitals, Udon Thani province, between October 2022 and August 2023. Non-contrast computed tomography was used to determine stone characteristics. The success was defined by the present of completely done of URSL and length of stay <24 hours. The overall success rate was 95.4%; and the complication rate was 7.7%. There was no patient who needed an unplanned admission. Chi-square demonstrated the sigmificant association between success and operative time, double stent insertion, post-operative pain, and post-operative fever (p<0.05). Binary logistic regression analysis demonstrated that operative time was a significant predictor of one-day URSL success (OR 0.875, 95% C.I. 0.820-0.933, p<0.05). This study showed a safe and effective treatment of ureteric calculi with One-day URSL. Operative time is a strong predictor for the success of one-day URSL. Finally, one-day URSL operation can be used to alleviate the problems of crowdedness and a long wait for operation quite successfully.
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