World J Urol (2017) 35:1497–1506 DOI 10.1007/s00345-017-2028-2
ORIGINAL ARTICLE
Characteristics and outcomes of ureteroscopic treatment in 2650 patients with impacted ureteral stones Jaap D. Legemate1 · Nienke J. Wijnstok1 · Tadashi Matsuda2 · Willem Strijbos3 · Tibet Erdogru4 · Beat Roth5 · Hidefumi Kinoshita2 · Judith Palacios‑Ramos6 · Roberto M. Scarpa7 · Jean J. de la Rosette1
Received: 25 December 2016 / Accepted: 18 February 2017 / Published online: 20 March 2017 © The Author(s) 2017. This article is an open access publication
Abstract Purpose To describe stone-free rates and complications of ureteroscopic treatment for impacted compared with non-impacted ureteral stones and evaluate predictive variables for impaction. Methods The Clinical Research Office of the Endourological Society prospectively collected 1 consecutive year of data from 114 centers worldwide. Patients eligible for inclusion were patients treated with ureteroscopy for ureteral stones. Patient characteristics, treatment details, and outcomes were compared with regard to stone impaction. Logistic regression analyses were conducted to explore On behalf of the CROES URS Study Group. Electronic supplementary material The online version of this article (doi:10.1007/s00345-017-2028-2) contains supplementary material, which is available to authorized users. * Jaap D. Legemate
[email protected] 1
Department of Urology, AMC University Hospital, Meibergdreef 9, 1105 AZ Amsterdam‑Zuidoost, The Netherlands
2
Department of Urology and Andrology, Kansai Medical University, Osaka, Japan
3
Department of Urology, Zuyderland Medisch Centrum Parkstad, Heerlen, The Netherlands
4
Department of Urology, Memorial Istanbul Atasehir Hospital, Istanbul, Turkey
5
Department of Urology, University Hospital Bern, Bern, Switzerland
6
Department of Urology, Hospital Galdakao-Usansolo, Vizcaya, Spain
7
Department of Urology, University of Turin, Turin, Italy
predictive variables for ureteral stone impaction and to analyse the effect of impaction on outcomes. Results Of the 8543 treated patients, 2650 (31%) had impacted and 5893 (69%) non-impacted stones. The stonefree rate was 87.1% for impacted stones, which is lower compared with 92.7% for non-impacted stones (p