Role of emergency ureteroscopy in the management of ureteric stones: analysis of 394 cases.

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dc.contributor.author Zargar Shoshtari, Kamran en
dc.contributor.author Anderson, William en
dc.contributor.author Rice, Michael en
dc.date.accessioned 2018-10-23T01:38:27Z en
dc.date.issued 2015-06 en
dc.identifier.issn 1464-4096 en
dc.identifier.uri http://hdl.handle.net/2292/43180 en
dc.description.abstract OBJECTIVE: To analyse the outcomes of emergency ureteroscopy (URS) cases performed in Auckland City Hospital. METHODS: We conducted a retrospective review of all emergency URS procedures performed at Auckland City Hospital between 1 January 2010 and 31 December 2011. Data on patients, stones and procedures were collected and analysed. Emergency URS failure was defined as fragments >3 mm or the need for a repeat procedure. RESULTS: A total of 499 URS procedures were identified. Of these 394 (79%) were emergency procedures. The mean (sd; range) patient age was 48 (16; 13-88) years. In all, 83% of emergency URS cases had an American Society of Anesthesiologists (ASA) score of 1 or 2, 25% of stones were >9 mm, with a mean (sd) size of 8 (4) mm, and 285 procedures (72%) were successful. These patients were younger (47 vs 51 years), were more likely to have an ASA score of 1 (103 patients in the successful treatment group vs 26 in the failed treatment group), had smaller stones (7 vs 9 mm) and were more likely to have distal stones (P < 0.05). A total of 20 complications (5%) were recorded including six false passages and three mucosal injuries, one of which required radiological intervention, and 50 patients (13%) re-presented, for pain (76%), bleeding (10%) or infection (14%). CONCLUSION: We showed that emergency URS is a feasible approach for the routine management of acute ureteric colic with a low complications rate. A subgroup of younger, healthier patients may benefit the most from the procedure. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries BJU international en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Ureteral Calculi en
dc.subject Postoperative Complications en
dc.subject Ureteroscopy en
dc.subject Retrospective Studies en
dc.subject Adolescent en
dc.subject Adult en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Middle Aged en
dc.subject Emergency Medical Services en
dc.subject New Zealand en
dc.subject Young Adult en
dc.title Role of emergency ureteroscopy in the management of ureteric stones: analysis of 394 cases. en
dc.type Journal Article en
dc.identifier.doi 10.1111/bju.12841 en
pubs.issue 6 en
pubs.begin-page 946 en
pubs.volume 115 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 24925167 en
pubs.end-page 950 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 540616 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Surgery Department en
dc.identifier.eissn 1464-410X en
pubs.record-created-at-source-date 2015-05-28 en
pubs.dimensions-id 24925167 en


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