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Intraoperative and early postoperative complications of semi-rigid ureterorenoscopy: A prospective study

Authors:

W. A. S. De Silva ,

Teaching Hospital Kurunegala, LK
About W. A. S.
Department of Urology
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K. R. Herath,

Teaching Hospital Kurunegala, LK
About K. R.
Department of Urology
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T. M. H. Tennakoon,

Teaching Hospital Kurunegala, LK
About T. M. H.
Department of Urology
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B. M. N. Balasooriya,

Teaching Hospital Kurunegala, LK
About B. M. N.
Department of Urology
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G. R. B. C. Bandara

Teaching Hospital Kurunegala, LK
About G. R. B. C.
Department of Urology
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Abstract

Objectives To analyze the intraoperative and early postoperative complications associated with uretero renoscopy (URS).

 

Methods A prospective analysis of patients who underwent URS during a period of six months from June 2014 at the Department of Urology, Teaching Hospital, Kurunegala was carried out. Management of upper urinary tract disease with regards to its associated complications were evaluated. Early postoperative period was taken as the first week of ureterorenoscopy.

 

Results A total of 150 patients had undergone URS. Nine patients had bilateral URS making the total number of (URS) renal units 159. Sixty eight percent of them were males and the mean age was 50 years with a range of 12 to 79 years. The main indication for URS was therapeutic intervention for ureteral calculi (85/150). Complications were graded according to the modified Clavien classification. Fifty nine complications occurred in 49 patients (59/150) with 36 intraoperative incidents (36/150=24%) and 23 early postoperative complications (23/150=15%). Majority of the complications were of Clavien Grade 1. Fifteen ureteral injuries have been encountered and all were managed with a Double J (DJ) stent. All early postoperative complications were accompanied by fever/UTI (23/59).

 

Conclusion Common complications include ureteral injury and postoperative fever and or sepsis. Most of the ureteral injuries could be managed with Double J (DJ) stent simple placement. Fever or sepsis occurs despite antibiotic prophylaxis.
How to Cite: De Silva, W.A.S., Herath, K.R., Tennakoon, T.M.H., Balasooriya, B.M.N. and Bandara, G.R.B.C., 2019. Intraoperative and early postoperative complications of semi-rigid ureterorenoscopy: A prospective study. Sri Lanka Journal of Urology, 13, pp.20–23. DOI: http://doi.org/10.4038/slju.v13i0.4066
Published on 28 Nov 2019.
Peer Reviewed

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