Publication:
Comparison and outcomes of dusting versus stone fragmentation and extraction in retrograde intrarenal surgery: results of a systematic review and meta-analysis

Simple item page
dc.contributor.authorTANIDIR, YILÖREN
dc.contributor.authorŞENER, TARIK EMRE
dc.contributor.authorsGauhar V., Teoh J. Y. , Mulawkar P. M. , Tak G. R. , Wroclawski M. L. , Robles-Torres J. I. , Chan V. W. , Rojo E. G. , Silva R. D. d. , TANIDIR Y., et al.
dc.date.accessioned2022-11-01T07:46:41Z
dc.date.available2022-11-01T07:46:41Z
dc.date.issued2022-01-01
dc.description.abstractIntroduction Lithotripsy during retrograde intrarenal surgery (RIRS) can be achieved either by fragmenta -ti on and extraction or dusting with spontaneous passage. We aimed to perform a systematic review on the safety and stone-free rate after RIRS by comparing the techniques of dusting vs fragmentation/extraction.Material and methods This review was performed according to the Preferred Reporting Items for Systemat-ic Reviews and Meta-analyses statement. The inverse variance of the mean difference and 95% Confidence Interval (CI), Categorical variables were assessed using Cochran-Mantel-Haenszel Method with the random effect model and reported as Odds Ratio (OR) and 95% CI. Statistical significance was set at p <0.05.Results There were 1141 patients included in 10 studies. Stone size was up to 2.5 cm All studies used hol-mium laser for lithotripsy. Meta-analysis showed no significant difference in surgical time (MD-5.39 minutes 95% CI-13.92-2.31, p = 0.16), postoperative length of stay (MD-0.19 days 95% CI-0.60 --0.22, p=0.36), overall complications (OR 0.98 95% CI 0.58-1.66, p = 0.95), hematuria (OR 1.01 95% CI 0.30-3.42, p = 0.99), postoperative fever (OR 0.70 95% CI 0.41-1.19, p = 0.19) and sepsis (OR 1.03 95% CI 0.10-10.35, p = 0.98), immediate (OR 0.40 95% CI 0.13-1.24, p = 0.11) and overall stone-free rate (OR 0.76 95% CI 0.43-1.32, p = 0.33), and retreatment rate (OR 1.35 95% CI 0.57-3.20, p = 0.49) between the groups.Conclusions This systematic review infers that urologists can safely use either option of fragmentation and basket extraction or dusting without extraction to achieve similar outcomes as both techniques are similar for efficacy and safety.
dc.identifier.citationGauhar V., Teoh J. Y. , Mulawkar P. M. , Tak G. R. , Wroclawski M. L. , Robles-Torres J. I. , Chan V. W. , Rojo E. G. , Silva R. D. d. , TANIDIR Y., et al., "Comparison and outcomes of dusting versus stone fragmentation and extraction in retrograde intrarenal surgery: results of a systematic review and meta-analysis", CENTRAL EUROPEAN JOURNAL OF UROLOGY, cilt.75, ss.317-327, 2022
dc.identifier.doi10.5173/ceju.2022.0148
dc.identifier.endpage327
dc.identifier.issn2080-4806
dc.identifier.startpage317
dc.identifier.urihttps://hdl.handle.net/11424/282755
dc.identifier.volume75
dc.language.isoeng
dc.relation.ispartofCENTRAL EUROPEAN JOURNAL OF UROLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectNefroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectNephrology
dc.subjectHealth Sciences
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectUROLOGY & NEPHROLOGY
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectÜroloji
dc.subjectUrology
dc.subjectkidney calculi
dc.subjectlithotripsy
dc.subjectlaser
dc.subjectretrograde intrarenal surgery
dc.subjectdusting
dc.subjectfragmentation
dc.subjectLASER LITHOTRIPSY
dc.subjectHOLMIUM LASER
dc.subjectMOSES TECHNOLOGY
dc.subjectRENAL STONES
dc.subjectEFFICIENCY
dc.subjectPOWER
dc.titleComparison and outcomes of dusting versus stone fragmentation and extraction in retrograde intrarenal surgery: results of a systematic review and meta-analysis
dc.typearticle
dspace.entity.typePublication
local.avesis.id1b488140-b812-4d08-85b6-0aaa824de932
local.indexed.atWOS
local.indexed.atSCOPUS
relation.isAuthorOfPublication86c61091-4762-401c-a1cd-88bb0ea5d84d
relation.isAuthorOfPublication5ff4af68-b410-4de6-be8b-a4a80167107e
relation.isAuthorOfPublication.latestForDiscovery86c61091-4762-401c-a1cd-88bb0ea5d84d

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
7.pdf
Size:
4.21 MB
Format:
Adobe Portable Document Format
Download

Collections

Research Outputs