Evaluation of the effect of 9.5/11.5-fr ureteral access sheath use on acute kidney injury with the myo-inositol oxygenase biomarker in patients undergoing retrograde intrarenal surgery: a prospective, randomized, and controlled study

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dc.contributor.authorTuran, Abdullah
dc.contributor.authorHirik, Erkan
dc.contributor.authorErdogan, Abdullah
dc.contributor.authorAltun, Abdulsemet
dc.contributor.authorMertoglu, Cuma
dc.contributor.authorSam, Emre
dc.contributor.authorAtar, Muhittin
dc.date.accessioned2024-08-04T20:55:56Z
dc.date.available2024-08-04T20:55:56Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroductionWe aimed to investigate whether a low intrarenal pressure provided by ureteral access sheath (UAS) use had a positive effect on the prevention of acute kidney injury through the evaluation of the myo-inositol oxygenase (MIOX).Material and methodsThe patients were divided into two groups according to whether a 9.5/11.5-Fr UAS was used during retrograde intrarenal surgery (RIRS): UAS group and non-UAS group. RIRS was performed under gravity irrigation and manual pumping was not used. For the measurement of MIOX, 5 cc blood samples were taken from the patients preoperatively and four hours postoperatively.ResultsOperation time and hospital stay were significantly longer in the UAS group. The mean preoperative and postoperative MIOX values were 0.77 +/- 0.36 ng/ml and 0.74 +/- 0.38 ng/ml, respectively, in the UAS group, and 0.74 +/- 0.31 ng/ml and 0.83 +/- 0.40 ng/ml, respectively, in the non-UAS group. The mean MIOX change was -0.29 +/- 0.36 in the UAS group and 0.08 +/- 0.44 in the non-UAS group, indicating no significant difference between the groups.ConclusionEven if UAS is not used, significant acute kidney injury is not observed under gravity irrigation and therefore, if we avoid manual pumping, the intrarenal pressure remains low, thus potentially rendering the use of 9,5/11,5-Fr UAS unnecessary.en_US
dc.identifier.doi10.1080/13645706.2024.2340730
dc.identifier.issn1364-5706
dc.identifier.issn1365-2931
dc.identifier.pmid38651905en_US
dc.identifier.scopus2-s2.0-85191167478en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1080/13645706.2024.2340730
dc.identifier.urihttps://hdl.handle.net/11616/101945
dc.identifier.wosWOS:001206914200001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofMinimally Invasive Therapy & Allied Technologiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKidney stoneen_US
dc.subjectretrograde intrarenal surgeryen_US
dc.subjectureteral access sheathen_US
dc.subjectmyo-inositol oxygenase (MIOX)en_US
dc.titleEvaluation of the effect of 9.5/11.5-fr ureteral access sheath use on acute kidney injury with the myo-inositol oxygenase biomarker in patients undergoing retrograde intrarenal surgery: a prospective, randomized, and controlled studyen_US
dc.typeArticleen_US

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