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Ureteral inflammatory edema grading clinical application.

Jialin Li^1,2, Chengming Jiang^1,2, Xinzhi Liao^1,2

¹The First Clinical College, Gannan Medical University, Ganzhou, China.

Frontiers in Surgery

|January 23, 2023

Summary

This summary is machine-generated.

A new grading system for ureteral inflammatory edema (UIE) correlates with surgical difficulty and outcomes in patients undergoing ureteroscopic lithotripsy for upper urinary tract stones.

Keywords:

classification clinical management endoscopic surgery upper urinary calculi ureteral inflammatory edema

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Area of Science:

Urology
Endourology
Surgical Pathology

Background:

Ureteral inflammatory edema (UIE) is a common finding during ureteroscopic procedures.
Understanding the severity of UIE is crucial for surgical planning and patient prognosis.

Purpose of the Study:

To establish a grading system for UIE severity.
To assess the relationship between UIE and ureteral lumen conditions.
To analyze the impact of UIE grades on surgical outcomes and prognosis in patients with upper urinary tract stones.

Main Methods:

Retrospective analysis of 185 patients undergoing ureteroscopic lithotripsy (URSL) for upper urinary tract stones.
Endoscopic assessment of UIE grade and ureteral lumen.
Statistical analysis using multiple linear regression and binary logistic regression to evaluate the impact of UIE grade.

Main Results:

UIE grade significantly correlated with age, hydronephrosis grading, ureteroscope placement time, surgery time, hemoglobin disparity, and postoperative ureteral stenosis.
Increased UIE grade was associated with longer ureteroscope placement and surgery times.
Higher UIE grades showed a negative correlation with improved postoperative hydronephrosis and increased risk of postoperative ureteral stenosis. Hemoglobin disparity was higher in grade 3 UIE.

Conclusions:

The proposed UIE grading system serves as a valuable clinical guide for endoscopic treatment of upper urinary tract stones.
The findings can inform postoperative management strategies for ureteral stones, optimizing patient care.