Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure

Abstract

Purpose: To evaluate the safety and feasibility of ureteroscopy plus elective double-J stent as an outpatient procedure in an unselected population with regard to the treatment for ureteral calculi and to present a multivariate analysis of factors predict hospitalization. Materials and Methods: Ureteroscopy was performed as an outpatient procedure on 308 consecutive patients with ureteral stones. Contraindication for day case surgery was the only exclusion criteria from the study. All causes that led to immediate hospitalization were recorded; at the same time, all causes of hospitalization that occurred within 72 h from the procedure were also recorded and included in the final analysis. Results: The overall stone-free rate and the rate of hospitalization were 94.5 and 9.7% respectively. Intraoperative complications were observed in 16 patients (5.1%). In terms of the variables related to hospitalization, the univariate analysis showed a statistical significant association between the American Society of Anesthesiologists (ASA) score (p < 0.001) and operative time (p = 0.018). At multivariate analysis, the only independent factor predictor of hospitalization was the ASA score (p < 0.001). Conclusions: In our experience, semirigid ureteroscopy is a safe and effective treatment that is independent of intraoperative local conditions or stone size. Elective Double-J stenting avoids major complications as the first reason for hospitalization. We suggest that ASA score > 2 should be taken into account when ureterorenoscopy is planning as an outpatient procedure.

Evaluation The Effects of Body Temperature Irrigation Fluid in Semirigid Ureteroscopy: A New Standard?

“…In a retrospective analysis of 2,010 ureteroscopies, researchers found out that operation time was signi cantly higher in patients with complications compared to patients without complications [19]. Salciccia and colleagues showed that longer operation time is strongly associated with hospitalization need after ureteroscopy [20]. Additionally, longer operation times was found to be associated with higher grade complications (Clavien score ≥ III) such as ureteral perforation, infectious complications and urosepsis after ureteroscopy [21][22][23].…”

In vitro and in vivo study of antibacterial and anti‐encrustation coating on ureteric stents

“…In addition to the antimicrobial capabilities of EEP coating, its long‐lasting antimicrobial performance is another concern that needs to be considered, especially for patients who require long‐term indwelling ureteric stents. Ureteric stent removal is recommended 2–8 weeks after ureteric lithotripsy [32] or even longer in severe cases [33]. Thus, an antimicrobial duration of 8 weeks (2 months) or more is preferable.…”

A warning system for urolithiasis via retrograde intrarenal surgery using machine learning: an experimental study

“…There also has been an attempt to predict the stone-free rate (SFR) prior to RIRS with the R.I.R.S scoring system and a statistical approach [ 13 ]. In terms of statistical approach, [ 14 ] investigated the ureteroscopy plus elective double-J stent treatment using a multivariate analysis of factors predict hospitalization. The referenced study investigators assumed that all the procedures were routinely conducted and would only predict outcomes from the procedures.…”