Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure

Stefano Salciccia, Alessandro Sciarra, Federico Pierella, Pier Paolo Leoncini, Patrizia Vitullo, Milena Polese, Martina Maggi, Giacomo Perugia, Pierangelo Di Marco, Gian Piero Ricciuti

Research output: Contribution to journalArticle

Abstract

PURPOSE: To evaluate the safety and feasibility of ureteroscopy plus elective double-J stent as an outpatient procedure in an unselected population with regard to the treatment for ureteral calculi and to present a multivariate analysis of factors predict hospitalization.

MATERIALS AND METHODS: Ureteroscopy was performed as an outpatient procedure on 308 consecutive patients with ureteral stones. Contraindication for day case surgery was the only exclusion criteria from the study. All causes that led to immediate hospitalization were recorded; at the same time, all causes of hospitalization that occurred within 72 h from the procedure were also recorded and included in the final analysis.

RESULTS: The overall stone-free rate and the rate of hospitalization were 94.5 and 9.7% respectively. Intraoperative complications were observed in 16 patients (5.1%). In terms of the variables related to hospitalization, the univariate analysis showed a statistical significant association between the American Society of Anesthesiologists (ASA) score (p < 0.001) and operative time (p = 0.018). At multivariate analysis, the only independent factor predictor of hospitalization was the ASA score (p < 0.001).

CONCLUSIONS: In our experience, semirigid ureteroscopy is a safe and effective treatment that is independent of intraoperative local conditions or stone size. Elective Double-J stenting avoids major complications as the first reason for hospitalization. We suggest that ASA score > 2 should be taken into account when ureterorenoscopy is planning as an outpatient procedure.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalUrologia Internationalis
DOIs
Publication statusE-pub ahead of print - Nov 14 2018
Externally publishedYes

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Ureteroscopy
Stents
Hospitalization
Outpatients
Ureteral Calculi
Intraoperative Complications
Ambulatory Surgical Procedures
Multivariate Analysis
Safety
Population

Cite this

Salciccia, S., Sciarra, A., Pierella, F., Leoncini, P. P., Vitullo, P., Polese, M., ... Ricciuti, G. P. (2018). Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure. Urologia Internationalis, 1-8. https://doi.org/10.1159/000494358

Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure. / Salciccia, Stefano; Sciarra, Alessandro; Pierella, Federico; Leoncini, Pier Paolo; Vitullo, Patrizia; Polese, Milena; Maggi, Martina; Perugia, Giacomo; Di Marco, Pierangelo; Ricciuti, Gian Piero.

In: Urologia Internationalis, 14.11.2018, p. 1-8.

Research output: Contribution to journalArticle

Salciccia, S, Sciarra, A, Pierella, F, Leoncini, PP, Vitullo, P, Polese, M, Maggi, M, Perugia, G, Di Marco, P & Ricciuti, GP 2018, 'Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure', Urologia Internationalis, pp. 1-8. https://doi.org/10.1159/000494358
Salciccia, Stefano ; Sciarra, Alessandro ; Pierella, Federico ; Leoncini, Pier Paolo ; Vitullo, Patrizia ; Polese, Milena ; Maggi, Martina ; Perugia, Giacomo ; Di Marco, Pierangelo ; Ricciuti, Gian Piero. / Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure. In: Urologia Internationalis. 2018 ; pp. 1-8.
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AU - Sciarra, Alessandro

AU - Pierella, Federico

AU - Leoncini, Pier Paolo

AU - Vitullo, Patrizia

AU - Polese, Milena

AU - Maggi, Martina

AU - Perugia, Giacomo

AU - Di Marco, Pierangelo

AU - Ricciuti, Gian Piero

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N2 - PURPOSE: To evaluate the safety and feasibility of ureteroscopy plus elective double-J stent as an outpatient procedure in an unselected population with regard to the treatment for ureteral calculi and to present a multivariate analysis of factors predict hospitalization.MATERIALS AND METHODS: Ureteroscopy was performed as an outpatient procedure on 308 consecutive patients with ureteral stones. Contraindication for day case surgery was the only exclusion criteria from the study. All causes that led to immediate hospitalization were recorded; at the same time, all causes of hospitalization that occurred within 72 h from the procedure were also recorded and included in the final analysis.RESULTS: The overall stone-free rate and the rate of hospitalization were 94.5 and 9.7% respectively. Intraoperative complications were observed in 16 patients (5.1%). In terms of the variables related to hospitalization, the univariate analysis showed a statistical significant association between the American Society of Anesthesiologists (ASA) score (p < 0.001) and operative time (p = 0.018). At multivariate analysis, the only independent factor predictor of hospitalization was the ASA score (p < 0.001).CONCLUSIONS: In our experience, semirigid ureteroscopy is a safe and effective treatment that is independent of intraoperative local conditions or stone size. Elective Double-J stenting avoids major complications as the first reason for hospitalization. We suggest that ASA score > 2 should be taken into account when ureterorenoscopy is planning as an outpatient procedure.

AB - PURPOSE: To evaluate the safety and feasibility of ureteroscopy plus elective double-J stent as an outpatient procedure in an unselected population with regard to the treatment for ureteral calculi and to present a multivariate analysis of factors predict hospitalization.MATERIALS AND METHODS: Ureteroscopy was performed as an outpatient procedure on 308 consecutive patients with ureteral stones. Contraindication for day case surgery was the only exclusion criteria from the study. All causes that led to immediate hospitalization were recorded; at the same time, all causes of hospitalization that occurred within 72 h from the procedure were also recorded and included in the final analysis.RESULTS: The overall stone-free rate and the rate of hospitalization were 94.5 and 9.7% respectively. Intraoperative complications were observed in 16 patients (5.1%). In terms of the variables related to hospitalization, the univariate analysis showed a statistical significant association between the American Society of Anesthesiologists (ASA) score (p < 0.001) and operative time (p = 0.018). At multivariate analysis, the only independent factor predictor of hospitalization was the ASA score (p < 0.001).CONCLUSIONS: In our experience, semirigid ureteroscopy is a safe and effective treatment that is independent of intraoperative local conditions or stone size. Elective Double-J stenting avoids major complications as the first reason for hospitalization. We suggest that ASA score > 2 should be taken into account when ureterorenoscopy is planning as an outpatient procedure.

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