Research Article

Comparison of Outcomes between Two Methods to Extract Stone Fragments during Flexible Ureteroscopic Lithotripsy

Table 1

Comparison of measured demographic, clinical, stone, and operative variables between methods of extraction of stone fragments.

AESE value

Number of patients10987
Age, years64 (20–90)65 (24–89)0.523
Sex
 Female48 (44%)45 (52%)0.284
 Male61 (56%)42 (48%)
Side
 Right52 (48%)39 (49%)0.597
 Left57 (52%)48 (51%)
Height (cm)162 (139–180)160 (128–181)0.209
Body mass index (kg/m2)23.9 (15.4–37.9)24.0 (15.7–33.9)0.407
Number of stones1 (1–7)1 (1–10)0.201
Stone volume (mm3)175.5 (0.175–4484)249 (2.5–1830)0.178
Cumulative stone diameter (mm)10 (0.5–54)13 (2–41)0.051
Lower pole calculi ()40 (37%)34 (39%)0.491
Number of calyx involving stone
 059 (54%)42 (48%)0.716
 134 (31%)27 (31%)
 211 (10%)13 (15%)
 35 (5%)5 (6%)
Hounsfield Units
 Maximum1074 (152–1830)1215 (284–1884)
 Mean751 (151–1671)853 (134–1530)0.554
Hydronephrosis ()32 (29%)31 (36%)0.35
Access sheath (Fr)
 139 (8%)25 (29%)
 1435 (32%)18 (21%)
 1565 (59%)44 (56%)
Preoperative stenting ()67 (61%)47 (54%)0.294
SWL failure ()13 (12%)8 (9%)0.449
Operator’s experience of fURSL15 (1–50)11 (1–156)0.075
Operative time (min)85 (18–194)80 (22–149)0.182
Postoperative length of stay2 (1–9)2 (0–7)0.115
Postoperative fever ()20 (18%)15 (17%)0.306
Stone free (%)61.590.8<0.001
Stone composition
 CaOX77 (71%)34 (39%)
 CaP3 (3%)3 (3%)
 UA2 (2%)3 (3%)
 MAP6 (6%)14 (16%)
 Mixed17 (16%)29 (33%)
 other1 (1%)0 (0%)
 unknown3 (3%)4 (5%)

AE: assistant extraction; SE: surgeon extraction; CaOX: calcium oxalate; CaP: calcium phosphate; UA: uric acid; MAP: magnesium ammonium phosphate; significant.