Comparison of Safety and Efficiency of General, Spinal and Epidural Anesthesia Methods Used for the Endoscopic Surgical Treatment of Ureteral Stones: Which One is Better To Access The Ureter and Reach The Stone?

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dc.contributor.authorOztekin, Unal
dc.contributor.authorCaniklioglu, Mehmet
dc.contributor.authorAtac, Fatih
dc.contributor.authorKantekin, Cigdem Unal
dc.contributor.authorGurel, Abdullah
dc.contributor.authorIsikay, Levent
dc.date.accessioned2021-01-14T18:10:39Z
dc.date.available2021-01-14T18:10:39Z
dc.date.issued2020
dc.departmentKKÜ
dc.descriptionCaniklioglu, Mehmet/0000-0003-2216-5677
dc.description.abstractPurpose: The aim of this study is to evaluate the effects of anesthesia methods on the success of urethral access and stone access achievement in endoscopic treatment of urolithiasis. Materials and Methods: In this prospective randomized study, 105 patients who underwent primary ureterorenoscopy (URS) procedure for ureteral stones were evaluated. The patients were randomized into three groups by permuted block randomization according to the applied anesthesia method: General anesthesia (GA): 33 patients, Spinal anesthesia (SA): 31 patients, and Epidural anesthesia (EA): 31 patients. Ten patients, whose ureteral access was not successful, were dropped out. The success of the three anesthesia methods on the success of the ureter access and its effects on surgical outcomes were compared. Results: There was no statistically significant difference among the three groups in terms of the demographic values and preoperative features except the American Society of Anesthesiologists (ASA) status. Dilatation and the access time to stone were statistically significantly longer in SA and EA group compared to the GA group. There was no statistically significant difference among the groups in terms of operation, lithotripsy time, stone-free rate (SFR), and complication rates. The Visual Analog Scale (VAS) scores in the 8th and 24th hours were statistically significantly higher in the GA group. Conclusion: In patients who decided to undergo primary ureterorenoscopy procedure, it can be suggested to treat with GA to provide a better relaxation of the ureter if there are no contraindications.en_US
dc.identifier.citationOztekin, U., Caniklioglu, M., Atac, F., Kantekin, C. U., Gurel, A., & Isikay, L. (2020). Comparison of Safety and Efficiency of General, Spinal and Epidural Anesthesia Methods Used for the Endoscopic Surgical Treatment of Ureteral Stones: Which One is Better To Access The Ureter and Reach The Stone?. Urology Journal, 17(3), 237-242.en_US
dc.identifier.doi10.22037/uj.v0i0.5638
dc.identifier.endpage242en_US
dc.identifier.issn1735-1308
dc.identifier.issn1735-546X
dc.identifier.issue3en_US
dc.identifier.pmid32207134
dc.identifier.scopus2-s2.0-85085265934
dc.identifier.scopusqualityQ3
dc.identifier.startpage237en_US
dc.identifier.urihttps://doi.org/10.22037/uj.v0i0.5638
dc.identifier.urihttps://hdl.handle.net/20.500.12587/12719
dc.identifier.volume17en_US
dc.identifier.wosWOS:000535760900005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherUROL & NEPHROL RES CTR-UNRCen_US
dc.relation.ispartofUROLOGY JOURNAL
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectanesthesia methodsen_US
dc.subjectendoscopyen_US
dc.subjectepidural anesthesiaen_US
dc.subjectspinal anesthesiaen_US
dc.subjectureteral stoneen_US
dc.subjectureterorenoscopyen_US
dc.titleComparison of Safety and Efficiency of General, Spinal and Epidural Anesthesia Methods Used for the Endoscopic Surgical Treatment of Ureteral Stones: Which One is Better To Access The Ureter and Reach The Stone?en_US
dc.typeArticle

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