Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital
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Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Tıp Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Amaç: Çalışmanın amacı, taş hastalığının endemik ol- duğu ve sık üreterorenoskopi yapılan iki farklı şehirdeki üniversite hastanesi ve devlet hastanesinde yapılan üre- terorenoskopik litotripsi sonrası üreteral stent yerleştirme sıklığının karşılaştırılmasıdır. Yöntemler: İki bin on dört Ocak ayı ile 2014 Mayıs ta- rihleri arasında İnönü üniveritesi Turgut Özal Tıp Merkezi Hastanesi (TÖTM) ve Osmaniye Devlet Hastanesi (ODH) üroloji kliniklerine başvuran hastalar retrospektif olarak değerlendirildi. Üreteral taşa bağlı olarak üreteroskopik litotripsi yapılan hastalar taş lokalizasyonu, boyutu, ektazi dereceleri ve stent yerleştirilme durumuna göre değerlen- dirildi. Bulgular: Her iki hastaneden 92 şer hasta çalışmaya alındı. Endoskopik üreteral taş tedavisi sonrası TÖTM de 85 ve ODH de 82 hastaya DJ stent yerleştirildi. Üniversite hastanesinde stent yerleştirilme sıklığı devlet hastanesin- de yüksek çıksa da istatiksel anlamlılık yoktu. Her iki grup arasında ortalama operasyon süreleri arasında istatiksel anlamlılık vardı. Sonuç: Endoskopik üreter taşı tedavisi sonrası DJ stent yerleştirilmesi çok sık uygulanmaktadır. Bizim çalışma- mıza göre üniversite hastanelerinde devlet hastanelerine göre daha sık DJ stent yerleştirilmesi yapılmaktadır. Bu- nun nedeni üniversite hastanelerinin son basamak mer- kezler olmasından dolayı daha komplike hastaların bu merkezlere refere edilmesi olabilir. Bu durumun daha net aydınlatılabilmesi için, prospektif, çok merkezli ve daha geniş serili çalışmalara ihtiyaç duyulmaktadır
Abstract: Objective: The aim of this study was to compare frequen- cy of ureteral stent placement after ureteroscopic litho- tripsy in a university and a state hospital of two different cities, which are endemic in terms of stone and often ure- terolithotripsy was performed for urolithiasis treatment. Methods: The patients who applied in to urology clinic of Inonu University Turgut Ozal Medical Center (TOMC) and urology clinic of Osmaniye State Hospital (OSH) between January 2014 and May 2014 were evaluated retrospec- tively. The patients who underwent ureteroscopic lithotrip- sy due to ureteral stone, were evaluated stone locations, stone sizes, grades of pelvicaliectasia and ureteral stent placement status. Results: About 92 patients were enrolled into the study from the both hospital. After the endoscopic ureteral stone treatment, Double J stent was placed in 85 patients in TOMC (92.3%) and 82 patients in OSH (89.1%). Stent im- plantation rate in the university hospital was higher than the state hospital but this was not statistically significant. There was a statistically meaningful difference in mean operative time between the 2 groups. Conclusion: Double J stent placament is recently per- formed too often after the endoscopic ureteral stone treat- ment. According to our study, university hospitals have a higher rate of incidence of double j stent placement ac- cording to state hospitals. It can be reason for that, uni- versity hospitals as the last line treatment centers, more complicated cases that refer to these centers. But in this matter, prospective, multicenter and larger series studies are needed
Abstract: Objective: The aim of this study was to compare frequen- cy of ureteral stent placement after ureteroscopic litho- tripsy in a university and a state hospital of two different cities, which are endemic in terms of stone and often ure- terolithotripsy was performed for urolithiasis treatment. Methods: The patients who applied in to urology clinic of Inonu University Turgut Ozal Medical Center (TOMC) and urology clinic of Osmaniye State Hospital (OSH) between January 2014 and May 2014 were evaluated retrospec- tively. The patients who underwent ureteroscopic lithotrip- sy due to ureteral stone, were evaluated stone locations, stone sizes, grades of pelvicaliectasia and ureteral stent placement status. Results: About 92 patients were enrolled into the study from the both hospital. After the endoscopic ureteral stone treatment, Double J stent was placed in 85 patients in TOMC (92.3%) and 82 patients in OSH (89.1%). Stent im- plantation rate in the university hospital was higher than the state hospital but this was not statistically significant. There was a statistically meaningful difference in mean operative time between the 2 groups. Conclusion: Double J stent placament is recently per- formed too often after the endoscopic ureteral stone treat- ment. According to our study, university hospitals have a higher rate of incidence of double j stent placement ac- cording to state hospitals. It can be reason for that, uni- versity hospitals as the last line treatment centers, more complicated cases that refer to these centers. But in this matter, prospective, multicenter and larger series studies are needed
Açıklama
Anahtar Kelimeler
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
43
Sayı
1
Künye
ÇELİK H,ÇAMTOSUN A,Ediz C,TOPÇU İ,ALTINTAŞ R,TAŞDEMİR C (2016). Frequency of Stent Placement after Ureteroscopic Lithotripsy in a University and a State Hospital. Dicle Tıp Dergisi, 43(1), 39 - 42.
