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Article

Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age): A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres

by
Mriganka M. Sinha
1,
Amelia Pietropaolo
1,
Yesica Quiroz Madarriaga
2,
Erika Llorens de Knecht
3,
Anna Bujons Tur
2,
Stephen Griffin
3 and
Bhaskar K. Somani
1,*
1
Urology Department, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK
2
Pediatric Urology Unit, Urology Department, Fundació Puigvert, 08025 Barcelona, Spain
3
Southampton Children Hospital NHS Trust, Southampton SO16 6YD, UK
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(4), 1671; https://doi.org/10.3390/jcm12041671
Submission received: 25 December 2022 / Revised: 5 February 2023 / Accepted: 14 February 2023 / Published: 20 February 2023
(This article belongs to the Special Issue Minimally Invasive Urological Procedures and Related Technological Developments—Series 2)
Versions Notes

Abstract

Aim: To assess and compare the outcomes associated with ureteroscopy and laser fragmentation (URSL) for extremes of age group (≤10 and ≥80 years). Methods: Retrospective consecutive data were collected from two European centres for all paediatric patients ≤10 undergoing URSL over a 15-year period (group 1). It was compared to consecutive data for all patients ≥80 years (group 2). Data were collected for patient demographics, stone characteristics, operative details, and clinical outcomes. Results: A total of 168 patients had 201 URSL procedures during this time (74 and 94 patients in groups 1 and 2 respectively). The mean age and stone sizes were 6.1 years and 85 years, and 9.7 mm and 13 mm for groups 1 and 2 respectively. While the SFR was slightly higher in group 2 (92.5% versus 87.8%, p = 0.301), post-operative stent rate was also significantly higher in the geriatric population (75.9% versus 41.2%, p = 0.0001). There was also no significant difference in pre-operative stenting (p = 0.886), ureteric access sheath use (UAS) (p = 0.220) and post-operative complications. Group 1 had an intervention rate of 1.3/patient as compared to 1.1/patient in group 2. The overall complications were 7.2% and 15.3% in groups 1 and 2 respectively (0.069), with 1 Clavien IV complication related to post-operative sepsis and brief ICU admission in group 2. Conclusion: The paediatric population had a marginally higher incidence of repeat procedure, but the overall SFR and complications were similar, and post-operative stent insertion rates were much better compared to geriatric patients. URSL is a safe procedure in the extremes of age groups with no difference in the overall outcomes between the two groups.
Keywords: ureteroscopy; laser; kidney calculi; paediatric; urolithiasis; stent; elderly ureteroscopy; laser; kidney calculi; paediatric; urolithiasis; stent; elderly

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MDPI and ACS Style

Sinha, M.M.; Pietropaolo, A.; Madarriaga, Y.Q.; de Knecht, E.L.; Tur, A.B.; Griffin, S.; Somani, B.K. Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age): A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres. J. Clin. Med. 2023, 12, 1671. https://doi.org/10.3390/jcm12041671

AMA Style

Sinha MM, Pietropaolo A, Madarriaga YQ, de Knecht EL, Tur AB, Griffin S, Somani BK. Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age): A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres. Journal of Clinical Medicine. 2023; 12(4):1671. https://doi.org/10.3390/jcm12041671

Chicago/Turabian Style

Sinha, Mriganka M., Amelia Pietropaolo, Yesica Quiroz Madarriaga, Erika Llorens de Knecht, Anna Bujons Tur, Stephen Griffin, and Bhaskar K. Somani. 2023. "Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age): A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres" Journal of Clinical Medicine 12, no. 4: 1671. https://doi.org/10.3390/jcm12041671

APA Style

Sinha, M. M., Pietropaolo, A., Madarriaga, Y. Q., de Knecht, E. L., Tur, A. B., Griffin, S., & Somani, B. K. (2023). Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age): A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres. Journal of Clinical Medicine, 12(4), 1671. https://doi.org/10.3390/jcm12041671

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