Emiliani, E. and Sanz-Gomez, I. and Somani, B. and Tailly, T. and Castellani, D. and Traxer, O. and Teoh, J. Yuen-Chun and Chew, B. Hall and Keat, W. Ong Lay and Chai, C. A. and Saeed, B. Hamri and Shrestha, A. and Soehabali, B. and Angerri, O. and Gauhar, V and TOWER, Representacion Grp and Res, Team Worldwide Endourol (2023) Does gender influence retrograde intrarenal surgery (RIRS) outcomes? Data from the Flexible Ureteroscopy Outcomes Registry (FLEXOR). Actas Urologicas Espanolas, 47 (9). pp. 581-587. ISSN 0210-4806, DOI https://doi.org/10.1016/j.acuro.2023.04.002.
Full text not available from this repository.Abstract
Introduction and objectives: As well established flexible ureteroscopy (RIRS). There is still no evidence if gender can have any influence on the outcomes and complication when performing This study aims to evaluate the role that gender has in performing flexible ureteroscopy from a large series of patients. Methods: This study retrospectively analyzed patients who underwent RIRS for renal stones from January 2018 to August 2021 within the multicentric FLEXOR registry. Demographics, stone characteristics, perioperative findings, results and complications were analyzed and compared between gender groups. Results: A total of 6669 patients were included, 66.1% were male and 33.9% were female. Stone characterictis was comparable between groups. Female patients had significant higher fever and positive urine culture rates (12% vs. 8% and 37% vs. 34%). Also, females had a slight longer hospital stay (3.8 vs. 3.5 days; P < 0.001) and more residual fragments after the procedure (23.03% vs. 20.97 (P = 0.032). Overall complications were slightly significantly higher in women (15.74% vs. 14% (P = 0.042)) mainly at the expense of fever rates (6.9% vs. 5.7%) whereas the risk of sepsis was similar in both groups. A multivariate analysis showed that larger stone size, multiple and lower pole stones seem to have a negative impact in the incidence of residual stones and complications. Conclusion: Our real life global study reflects that female gender may have a correlation with a slightly increased residual fragment rate and overall low grade complications. However, women can safely be treated with RIRS with no increased the rate of sepsis with appropriate care. (c) 2023 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Ureteroscopy; Urolithiasis; Females; Males; Gender; Outcomes; Ureteroscopy; Urolithiasis; Females; Males; Gender; Outcomes |
| Subjects: | R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 03 Nov 2025 06:47 |
| Last Modified: | 03 Nov 2025 06:47 |
| URI: | http://eprints.um.edu.my/id/eprint/48590 |
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