{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:16:56Z","timestamp":1747185416904,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To show that elimination of a urethral catheter in ureterorenoscopic lithotripsy cases is not disadvantageous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed 164 non\u2010catheterized patients (experimental group) and 656 catheterized patients (control group) with renal or ureteral stones treated at our institution. Inclusion criteria were initial operation, patient age 18 to 75\u2009years, no dysuria, and no preoperative febrile urinary tract infection due to calculi. The primary areas of evaluation were patient background, stone characteristics, perioperative factors, and postoperative evaluation results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of women was significantly lower (24.4% <jats:italic>vs<\/jats:italic> 37.2%; <jats:italic>P<\/jats:italic>\u2009=\u20090.01) and the proportion of multiple stone cases was significantly higher (34.9% <jats:italic>vs<\/jats:italic> 19.2%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) in the experimental as compared to the control group, while there were no significant differences for patient background or stone characteristics. The percentages of short\u2010term preoperative stent insertion (72.0% <jats:italic>vs<\/jats:italic> 33.0%; <jats:italic>P<\/jats:italic>\u2009=\u20090.009) and negative preoperative urine culture cases (58.0% <jats:italic>vs<\/jats:italic> 23.0%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) were significantly higher in the experimental than in the control group, with no differences regarding other perioperative factors. There was no significant difference for complete stone clearance rate between the groups (<jats:italic>P<\/jats:italic>\u2009=\u20090.339), while only one patient underwent re\u2010catheterization and there were no cases of urinary retention. Interestingly, the rate of postoperative febrile urinary tract infection was significantly lower (<jats:italic>P<\/jats:italic>\u2009=\u20090.024) in the experimental (5.7%) than in the control (9.0%) group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Postoperative urethral catheterization can be eliminated in low\u2010risk ureterorenoscopic lithotripsy cases, although additional studies are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.14782","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T01:22:58Z","timestamp":1642123378000},"page":"337-342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of eliminating urethral catheterization following ureterorenoscopic lithotripsy"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4490-8809","authenticated-orcid":false,"given":"Shunsuke","family":"Hori","sequence":"first","affiliation":[{"name":"Department of Urology Toho University Faculty of Medicine Tokyo Japan"},{"name":"Department of Urology Abiko Toho Hospital Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Department of Urology Abiko Toho Hospital Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Fujio","sequence":"additional","affiliation":[{"name":"Department of Urology Abiko Toho Hospital Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Faculty of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yozo","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Faculty of Medicine Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10495.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2018.08.007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-017-2030-8"},{"key":"e_1_2_12_5_1","unstructured":"European Association of Urology.Guidelines on urolithiasis.2015. 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