The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone
To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones. Cohort study. Department of Urology, University of Health Sciences, Bursa Yuksek Ihti...
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| Veröffentlicht in: | Journal of the College of Physicians and Surgeons--Pakistan 2023-01, Vol.33 (1), p.97-102 |
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| container_title | Journal of the College of Physicians and Surgeons--Pakistan |
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| creator | Ekici, Ozgur Gul, Abdullah Zengin, Salim Boyaci, Caglar Kilic, Metin |
| description | To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones.
Cohort study.
Department of Urology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Turkey, between January 2019 and June 2021.
One hundred and sixty-nine patients with ureteral stones were restrospetively reviewed for maximum stone diameter, stone density, degree of hydronephrosis, parenchymal thickness, and UWT measurement from CT images. The patients were divided into two groups; patients who had (group 1) and had not (group 2) undergone SP of ureteral stones. These two groups were compared for stone characteristics and UWT. Ureterorenoscopy was performed on 52 patients who did not experience SP. Data related to the passage of guide wire and radio-opaque material, drainage method, ureteral wall injury and patients who developed US were recorded. Ureterorenoscopy group were divided into two groups of patients who did and did not develop stricture. These two groups were compared for stone characteristics and perioperative findings.
Of the 169 patients, 106 (62,7%) patients spontaneously passed stones. Ureterorenoscopy was performed on 52 patients. US developed in 9 (17%) patients. Maximum stone diameter, density, and antero-posterior (AP) diameter of the renal pelvis and UWT were statistically different between both groups. The degree of hydronephrosis, ureteral wall injury, density, AP diameter of the stones, parenchyma thickness, length of hospital stay, and UWT were found to be significantly increased in the stricture group.
UWT is a simple measurement that can be used to predict SP of ureteral stones. It can also predict the development of US after ureterorenoscopy in long-term.
Ureteral calculi, Ureterorenoscopy, Ureteral wall thickness, Ureteral stricture. |
| doi_str_mv | 10.29271/jcpsp.2023.01.97 |
| format | Article |
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Cohort study.
Department of Urology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Turkey, between January 2019 and June 2021.
One hundred and sixty-nine patients with ureteral stones were restrospetively reviewed for maximum stone diameter, stone density, degree of hydronephrosis, parenchymal thickness, and UWT measurement from CT images. The patients were divided into two groups; patients who had (group 1) and had not (group 2) undergone SP of ureteral stones. These two groups were compared for stone characteristics and UWT. Ureterorenoscopy was performed on 52 patients who did not experience SP. Data related to the passage of guide wire and radio-opaque material, drainage method, ureteral wall injury and patients who developed US were recorded. Ureterorenoscopy group were divided into two groups of patients who did and did not develop stricture. These two groups were compared for stone characteristics and perioperative findings.
Of the 169 patients, 106 (62,7%) patients spontaneously passed stones. Ureterorenoscopy was performed on 52 patients. US developed in 9 (17%) patients. Maximum stone diameter, density, and antero-posterior (AP) diameter of the renal pelvis and UWT were statistically different between both groups. The degree of hydronephrosis, ureteral wall injury, density, AP diameter of the stones, parenchyma thickness, length of hospital stay, and UWT were found to be significantly increased in the stricture group.
UWT is a simple measurement that can be used to predict SP of ureteral stones. It can also predict the development of US after ureterorenoscopy in long-term.
Ureteral calculi, Ureterorenoscopy, Ureteral wall thickness, Ureteral stricture.</description><identifier>ISSN: 1022-386X</identifier><identifier>EISSN: 1681-7168</identifier><identifier>DOI: 10.29271/jcpsp.2023.01.97</identifier><identifier>PMID: 36597243</identifier><language>eng</language><publisher>Pakistan</publisher><subject>Cohort Studies ; Constriction, Pathologic ; Humans ; Hydronephrosis - diagnostic imaging ; Hydronephrosis - etiology ; Hydronephrosis - surgery ; Retrospective Studies ; Ureter - diagnostic imaging ; Ureter - surgery ; Ureteral Calculi - diagnostic imaging ; Ureteral Calculi - surgery ; Ureteral Obstruction - diagnostic imaging ; Ureteral Obstruction - etiology ; Ureteral Obstruction - surgery</subject><ispartof>Journal of the College of Physicians and Surgeons--Pakistan, 2023-01, Vol.33 (1), p.97-102</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2597-ff0d690a9ffd565ae53ca3ea2157efc1cb3c5c92cde2695a01a3c6f98acad9df3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36597243$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekici, Ozgur</creatorcontrib><creatorcontrib>Gul, Abdullah</creatorcontrib><creatorcontrib>Zengin, Salim</creatorcontrib><creatorcontrib>Boyaci, Caglar</creatorcontrib><creatorcontrib>Kilic, Metin</creatorcontrib><title>The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone</title><title>Journal of the College of Physicians and Surgeons--Pakistan</title><addtitle>J Coll Physicians Surg Pak</addtitle><description>To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones.
Cohort study.
Department of Urology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Turkey, between January 2019 and June 2021.
One hundred and sixty-nine patients with ureteral stones were restrospetively reviewed for maximum stone diameter, stone density, degree of hydronephrosis, parenchymal thickness, and UWT measurement from CT images. The patients were divided into two groups; patients who had (group 1) and had not (group 2) undergone SP of ureteral stones. These two groups were compared for stone characteristics and UWT. Ureterorenoscopy was performed on 52 patients who did not experience SP. Data related to the passage of guide wire and radio-opaque material, drainage method, ureteral wall injury and patients who developed US were recorded. Ureterorenoscopy group were divided into two groups of patients who did and did not develop stricture. These two groups were compared for stone characteristics and perioperative findings.
Of the 169 patients, 106 (62,7%) patients spontaneously passed stones. Ureterorenoscopy was performed on 52 patients. US developed in 9 (17%) patients. Maximum stone diameter, density, and antero-posterior (AP) diameter of the renal pelvis and UWT were statistically different between both groups. The degree of hydronephrosis, ureteral wall injury, density, AP diameter of the stones, parenchyma thickness, length of hospital stay, and UWT were found to be significantly increased in the stricture group.
UWT is a simple measurement that can be used to predict SP of ureteral stones. It can also predict the development of US after ureterorenoscopy in long-term.
Ureteral calculi, Ureterorenoscopy, Ureteral wall thickness, Ureteral stricture.</description><subject>Cohort Studies</subject><subject>Constriction, Pathologic</subject><subject>Humans</subject><subject>Hydronephrosis - diagnostic imaging</subject><subject>Hydronephrosis - etiology</subject><subject>Hydronephrosis - surgery</subject><subject>Retrospective Studies</subject><subject>Ureter - diagnostic imaging</subject><subject>Ureter - surgery</subject><subject>Ureteral Calculi - diagnostic imaging</subject><subject>Ureteral Calculi - surgery</subject><subject>Ureteral Obstruction - diagnostic imaging</subject><subject>Ureteral Obstruction - etiology</subject><subject>Ureteral Obstruction - surgery</subject><issn>1022-386X</issn><issn>1681-7168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkctOwzAQRS0EolD4ADbISzYpfpCHl4i3VAmkFsHOGpxxm5LYwU5B_AMfTWh5bWZmce_RzFxCDjgbCSVyfrwwbWxHggk5Ynyk8g2yw7OCJ3lfN_uZCZHIInsckN0YF4zJlBfFNhnILFW5OJE75GM6R3rTtGA66i29D9hhgJo-QF3T6bwyzw5jpN7RSetdBw79MtI7iBFmSMGV9BxfsfZtg25FGHs3S3pG88eadKEy3TIgrVxv7apeGulb1c3_a7zDPbJloY64_92H5P7yYnp2nYxvr27OTseJEf3eibWszBQDZW2ZZilgKg1IBMHTHK3h5kma1ChhShSZSoFxkCazqgADpSqtHJKjNbcN_mWJsdNNFQ3W9fo8LfKMFTwXXPRSvpaa4GMMaHUbqgbCu-ZMr0LQqxD0Vwiaca3y3nP4jV8-NVj-On6-Lj8BnC-HjQ</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Ekici, Ozgur</creator><creator>Gul, Abdullah</creator><creator>Zengin, Salim</creator><creator>Boyaci, Caglar</creator><creator>Kilic, Metin</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202301</creationdate><title>The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone</title><author>Ekici, Ozgur ; Gul, Abdullah ; Zengin, Salim ; Boyaci, Caglar ; Kilic, Metin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2597-ff0d690a9ffd565ae53ca3ea2157efc1cb3c5c92cde2695a01a3c6f98acad9df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cohort Studies</topic><topic>Constriction, Pathologic</topic><topic>Humans</topic><topic>Hydronephrosis - diagnostic imaging</topic><topic>Hydronephrosis - etiology</topic><topic>Hydronephrosis - surgery</topic><topic>Retrospective Studies</topic><topic>Ureter - diagnostic imaging</topic><topic>Ureter - surgery</topic><topic>Ureteral Calculi - diagnostic imaging</topic><topic>Ureteral Calculi - surgery</topic><topic>Ureteral Obstruction - diagnostic imaging</topic><topic>Ureteral Obstruction - etiology</topic><topic>Ureteral Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekici, Ozgur</creatorcontrib><creatorcontrib>Gul, Abdullah</creatorcontrib><creatorcontrib>Zengin, Salim</creatorcontrib><creatorcontrib>Boyaci, Caglar</creatorcontrib><creatorcontrib>Kilic, Metin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the College of Physicians and Surgeons--Pakistan</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekici, Ozgur</au><au>Gul, Abdullah</au><au>Zengin, Salim</au><au>Boyaci, Caglar</au><au>Kilic, Metin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone</atitle><jtitle>Journal of the College of Physicians and Surgeons--Pakistan</jtitle><addtitle>J Coll Physicians Surg Pak</addtitle><date>2023-01</date><risdate>2023</risdate><volume>33</volume><issue>1</issue><spage>97</spage><epage>102</epage><pages>97-102</pages><issn>1022-386X</issn><eissn>1681-7168</eissn><abstract>To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones.
Cohort study.
Department of Urology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Turkey, between January 2019 and June 2021.
One hundred and sixty-nine patients with ureteral stones were restrospetively reviewed for maximum stone diameter, stone density, degree of hydronephrosis, parenchymal thickness, and UWT measurement from CT images. The patients were divided into two groups; patients who had (group 1) and had not (group 2) undergone SP of ureteral stones. These two groups were compared for stone characteristics and UWT. Ureterorenoscopy was performed on 52 patients who did not experience SP. Data related to the passage of guide wire and radio-opaque material, drainage method, ureteral wall injury and patients who developed US were recorded. Ureterorenoscopy group were divided into two groups of patients who did and did not develop stricture. These two groups were compared for stone characteristics and perioperative findings.
Of the 169 patients, 106 (62,7%) patients spontaneously passed stones. Ureterorenoscopy was performed on 52 patients. US developed in 9 (17%) patients. Maximum stone diameter, density, and antero-posterior (AP) diameter of the renal pelvis and UWT were statistically different between both groups. The degree of hydronephrosis, ureteral wall injury, density, AP diameter of the stones, parenchyma thickness, length of hospital stay, and UWT were found to be significantly increased in the stricture group.
UWT is a simple measurement that can be used to predict SP of ureteral stones. It can also predict the development of US after ureterorenoscopy in long-term.
Ureteral calculi, Ureterorenoscopy, Ureteral wall thickness, Ureteral stricture.</abstract><cop>Pakistan</cop><pmid>36597243</pmid><doi>10.29271/jcpsp.2023.01.97</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1022-386X 1681-7168 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Cohort Studies Constriction, Pathologic Humans Hydronephrosis - diagnostic imaging Hydronephrosis - etiology Hydronephrosis - surgery Retrospective Studies Ureter - diagnostic imaging Ureter - surgery Ureteral Calculi - diagnostic imaging Ureteral Calculi - surgery Ureteral Obstruction - diagnostic imaging Ureteral Obstruction - etiology Ureteral Obstruction - surgery |
| title | The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone |
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