Abstract
Patients with coagulopathy are at increased risk of peri-operative hemorrhage. The aim of the present study was to compare ureteroscopy (URS) in these high risk patients to those with normal bleeding profile. Twelve patients with coagulopathies (Group I) undergoing 17 URS were included in the study [3 for biopsy of ureteral lesions and 9 for Holmium Laser Lithotripsy (HLL)]. A patient had Child B (MELD 11) cirrhosis, 6 patients were on warfarin, 3 patients on ASA, 1 patient on ASA and clopidogrel, and the last patient was on heparin. URS in Group I was performed without correction of coagulopathy. Group II consisted of 32 patients with normal bleeding profile who underwent 34 URS concurrently. Group I included 4 ureteral biopsies in 3 patients with suspicious ureteral lesions and 13 URS for HLL in 9 patients with nephrolithiasis. There were no significant differences between the two groups in terms of patient age, sex, percent of renal stones, median operative and fluoroscopy times. When compared with Group II, Group I had significantly larger median stone size (9.2 vs. 14.0 mm, p = 0.01) and significantly lower stone-free rate after fi rst URS (94.1% vs. 69.2%, p=0.04). However, after second URS, stone-free rates were comparab...Continue Reading
References
Dec 1, 1990·The Journal of Urology·S B Streem, A Yost
Feb 1, 1996·British Journal of Haematology·U GeneweinJ H Beer
May 22, 1997·The New England Journal of Medicine·C Kearon, J Hirsh
Sep 5, 1998·Journal of Clinical Laser Medicine & Surgery·T A Wollin, J D Denstedt
Oct 8, 1998·Urology·R L KuoG M Preminger
Jul 20, 2002·The Journal of Urology·James D WattersonJohn D Denstedt
Jan 1, 2003·European Urology·H C KlinglerM Marberger
May 5, 2005·JAMA : the Journal of the American Medical Association·Ioannis IakovouAntonio Colombo
Jun 21, 2005·Journal of the American College of Cardiology·Andrew T L OngPatrick W Serruys
Jun 14, 2006·Circulation·John A SpertusDavid J Cohen
Jul 25, 2006·Journal of Endourology·Mohamed Abdel-Basir Sayed
Dec 19, 2006·Journal of the American College of Cardiology·Matthias PfistererUNKNOWN BASKET-LATE Investigators
Apr 21, 2007·Journal of Endourology·Pawan Kumar Gupta
Jul 26, 2007·British Journal of Anaesthesia·P-G ChassotD R Spahn
Jan 8, 2008·Urological Research·Mehmet TurgutYüksel Aydar
Feb 22, 2008·The Journal of Urology·Burak TurnaMihir M Desai
Nov 18, 2008·The Journal of Urology·John C KeferMihir M Desai
Jun 18, 2009·Internal and Emergency Medicine·Matteo Nicola Dario Di MinnoGiovanni Di Minno
Sep 19, 2009·Journal of Gastroenterology·Satoshi OnoKazuhiko Koike
Dec 2, 2009·Nature Reviews. Urology·Brian H EisnerStephen P Dretler
Jan 7, 2010·The Journal of School Health·Sharron J Crowder
Mar 6, 2010·Psychology & Health·Michael ShelleyIan Frazer
Apr 20, 2010·The Journal of Urology·Daniel EberliDonat R Spahn
Citations
Jun 26, 2014·World Journal of Urology·Guido GiustiPierpaolo Graziotti
Oct 20, 2017·Journal of Endourology·Alaa SharafOmar M Aboumarzouk
Dec 13, 2012·Journal of Endourology·Ahmet TefekiJean de la Rosette
Sep 6, 2012·Journal of Endourology·Jean de la RosetteStavros Gravas
Feb 23, 2019·Journal of Endourology·Abdulaziz AlathelHassan Razvi
Sep 13, 2012·Angiology·Jolanta MalyszkoMaciej Banach
Sep 12, 2012·Expert Opinion on Pharmacotherapy·J Seth Hawkins, Deborah A Wing
Oct 31, 2012·Scandinavian Journal of Public Health·Camilla T DamsgaardKim F Michaelsen
May 3, 2013·PloS One·Rongqing GengYulin Chen
May 23, 2013·Journal of Medical Economics·Korinna KarampampaW S van der Hel
Jul 16, 2013·Bioengineered·Kerry Joan O'ConnellDouwe van Sinderen
Aug 16, 2013·Computer Methods in Biomechanics and Biomedical Engineering·P SaintonP Chavet
May 13, 2014·RSC Advances·Megan E GodseyKam W Leong
Dec 21, 2013·PloS One·Zhe WangYang Wu
Apr 5, 2014·PloS One·David A McAllisterR Graham Barr
Aug 8, 2014·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Richard Hellman