Feasibility and Safety of Flexible Ureteroscopy with Intelligent Control of Renal Pelvis Pressure Without Urinary Catheter: a Retrospective Study

Overview

Journal BMC Urol

Publisher Biomed Central

Specialty Urology

Date 2024 Oct 25

PMID 39448984

Authors

Huang Mei

Yang Baihua

Luo Xiaohua

Song Leming

Deng Xiaolin

Affiliations

Soon will be listed here.

Abstract

Background: To explore the feasibility and safety of aflexible ureteroscopy with intelligent control of renal pelvic pressure(FUS-ICP) without a post-operative indwelling urinary catheter .

Methods: In this retrospective study, we assessed patients with upper urinary tract stones who were treated with FUS-ICP at the Ganzhou People's Hospital from February 2022 to December 2023. Patients were divided into the non-urinary catheter (non-UC) and urinary catheter (UC) groups according to whether an indwelling catheter was used after surgery.

Results: In total, 142 patients were included in the study. There was no significant difference in the preoperative general data between the two groups. Patients in the non-UC group performed better than those in the UC group in terms of catheter-related bladder irritation (P = 0.001), the Sedation-Agitation Scale score (P = 0.012), and the numerical rating scale (P = 0.003). The incidences of urinary retention (P = 0.620), urinary tract infection (P = 0.529), and replacement of urethral catheter s (P = 0.438) in the UC group were inferior to those in the non-UC group, but there was no statistical significance.

Conclusions: It is feasible and safe to perform FUS-ICP without a post-procedure indwelling urinary catheter.

References

Lee S, Sung T . Emergence agitation: current knowledge and unresolved questions. Korean J Anesthesiol. 2020; 73(6):471-485. PMC: 7714637. DOI: 10.4097/kja.20097. View

Chen Y, Liu S, Deng X, Liang J, Huang Y, Zhou W . The effect and safety assessment of monitoring ethanol concentration in exhaled breath combined with intelligent control of renal pelvic pressure on the absorption of perfusion fluid during flexible ureteroscopic lithotripsy. Int Urol Nephrol. 2023; 56(1):45-53. DOI: 10.1007/s11255-023-03776-x. View

Lim N, Yoon H . Factors Predicting Catheter-Related Bladder Discomfort in Surgical Patients. J Perianesth Nurs. 2017; 32(5):400-408. DOI: 10.1016/j.jopan.2016.03.012. View

Nollen J, Pijnappel L, Schoones J, Peul W, van Furth W, Brunsveld-Reinders A . Impact of early postoperative indwelling urinary catheter removal: A systematic review. J Clin Nurs. 2022; 32(9-10):2155-2177. DOI: 10.1111/jocn.16393. View

Ljungqvist O, Scott M, Fearon K . Enhanced Recovery After Surgery: A Review. JAMA Surg. 2017; 152(3):292-298. DOI: 10.1001/jamasurg.2016.4952. View

Mitobe Y, Yoshioka T, Baba Y, Yamaguchi Y, Nakagawa K, Itou T . Predictors of Catheter-Related Bladder Discomfort After Surgery: A Literature Review. J Clin Med Res. 2023; 15(4):208-215. PMC: 10181350. DOI: 10.14740/jocmr4873. View

Riker R, Picard J, Fraser G . Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med. 1999; 27(7):1325-9. DOI: 10.1097/00003246-199907000-00022. View

Lai Y, Wang X, Zhou K, Su J, Che G . The Feasibility and Safety of No Placement of Urinary Catheter Following Lung Cancer Surgery: A Retrospective Cohort Study With 2,495 Cases. J Invest Surg. 2019; 34(6):568-574. DOI: 10.1080/08941939.2019.1663377. View

Yu D, Chai W, Sun X, Yao L . Emergence agitation in adults: risk factors in 2,000 patients. Can J Anaesth. 2010; 57(9):843-8. DOI: 10.1007/s12630-010-9338-9. View

10.

Moreno C, Munoz Velandia O, Sanchez C, Diaz J, Garzon Herazo J . Impact of urinary catheter on resistance patterns and clinical outcomes on complicated urinary tract infection. Int Urogynecol J. 2022; 34(6):1195-1201. PMC: 10238299. DOI: 10.1007/s00192-022-05320-4. View

11.

Zugail A, Pinar U, Irani J . Evaluation of pain and catheter-related bladder discomfort relative to balloon volumes of indwelling urinary catheters: A prospective study. Investig Clin Urol. 2019; 60(1):35-39. PMC: 6318203. DOI: 10.4111/icu.2019.60.1.35. View

12.

Wald H, Ma A, Bratzler D, Kramer A . Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg. 2008; 143(6):551-7. DOI: 10.1001/archsurg.143.6.551. View

13.

Deng X, Xie D, Huang X, Huang J, Song L, Du C . Suctioning Flexible Ureteroscopy with Automatic Control of Renal Pelvic Pressure versus Mini PCNL for the Treatment of 2-3-cm Kidney Stones in Patients with a Solitary Kidney. Urol Int. 2022; 106(12):1293-1297. DOI: 10.1159/000521373. View

14.

Kim I, Lee C, Bae J, Han S, Lee D, Lee I . Immediate urinary catheter removal after colorectal surgery with the enhanced recovery after surgery protocol. Int J Colorectal Dis. 2023; 38(1):162. DOI: 10.1007/s00384-023-04460-3. View

15.

Zeng G, Traxer O, Zhong W, Osther P, Pearle M, Preminger G . International Alliance of Urolithiasis guideline on retrograde intrarenal surgery. BJU Int. 2022; 131(2):153-164. PMC: 10084014. DOI: 10.1111/bju.15836. View

16.

Yu Y, Chen Y, Zhou X, Li X, Liu W, Cheng X . Comparison of novel flexible and traditional ureteral access sheath in retrograde intrarenal surgery. World J Urol. 2024; 42(1):7. PMC: 10766707. DOI: 10.1007/s00345-023-04697-1. View

17.

Fu C, Wan L, Shen P, Wang L . Feasibility of immediate removal of urinary catheter after laparoscopic gynecological surgery for benign diseases: A meta-analysis of randomized controlled trials. Int J Gynaecol Obstet. 2022; 159(3):622-629. DOI: 10.1002/ijgo.14283. View

18.

Deng J, Chen J, Yang T, Guo X, Xie C . The safety and feasibility of no-placement of urinary catheter after single-port laparoscopic surgery in patients with benign ovarian tumor: A retrospective cohort study. Taiwan J Obstet Gynecol. 2023; 62(1):50-54. DOI: 10.1016/j.tjog.2022.11.001. View

19.

Chen H, Chang C, Wang P . Is it possible to no placement of indwelling urethra catheter during the surgery?. Taiwan J Obstet Gynecol. 2023; 62(4):623-624. DOI: 10.1016/j.tjog.2023.05.010. View

20.

Meddings J, Skolarus T, Fowler K, Bernstein S, Dimick J, Mann J . Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method. BMJ Qual Saf. 2018; 28(1):56-66. PMC: 6365917. DOI: 10.1136/bmjqs-2018-008025. View