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The usefulness of flexible cystoscopy for preventing double-J stent malposition after laparoscopic ureterolithotomy

Overview of attention for article published in BMC Urology, June 2017
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Title
The usefulness of flexible cystoscopy for preventing double-J stent malposition after laparoscopic ureterolithotomy
Published in
BMC Urology, June 2017
DOI 10.1186/s12894-017-0232-4
Pubmed ID
Authors

Jae-Yoon Kim, Seok-Ho Kang, Jun Cheon, Jeong-Gu Lee, Je-Jong Kim, Sung-Gu Kang

Abstract

The aim of this study was to evaluate the role of flexible cystoscopy in preventing malpositioning of the ureteral stent after laparoscopic ureterolithotomy in male patients. From April 2009 to June 2015, 97 male patients with stones >1.8 cm in the upper ureter underwent intracorporeal double-J stenting of the ureter after laparoscopic ureterolithotomy performed by four different surgeons. In the last 50 patients who underwent laparoscopic ureterolithotomy flexible cystoscopy was performed through the urethral route to confirm the position of the double-J stent, while in the first 47 correct positioning of the stent was confirmed through postoperative KUB. The demographic data and perioperative outcomes were reviewed retrospectively. Penalized logistic regression analysis was used to evaluate the effects of flexible cystoscopy. Upward malpositioning of the ureteral stent was found in 9 of the 47 (19.1%) patients who underwent surgery without flexible cystoscopy. Among the 50 most recent patients who underwent surgery with flexible cystoscopy through the urethral route, upward malpositioning was observed in 10 (20%) patients. The factors preventing upward malpositioning of the double-J catheter in multivariate analysis were surgeon (p = 0.039) and use of flexible cystoscopy (p = 0.008). Flexible cystoscopy is a simple, safe, quick, and effective method to identify and correct malpositioning of double-J stents, especially in male patients. This study was registered with ClinicalTrials.gov Registry on May 11, 2017 (retrospective registration) with a trial registration number of NCT03150446 .

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 14 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 14 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 2 14%
Lecturer 1 7%
Student > Doctoral Student 1 7%
Student > Ph. D. Student 1 7%
Student > Master 1 7%
Other 2 14%
Unknown 6 43%
Readers by discipline Count As %
Medicine and Dentistry 4 29%
Nursing and Health Professions 2 14%
Agricultural and Biological Sciences 1 7%
Engineering 1 7%
Unknown 6 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 June 2017.
All research outputs
#20,428,633
of 22,981,247 outputs
Outputs from BMC Urology
#652
of 754 outputs
Outputs of similar age
#275,923
of 317,090 outputs
Outputs of similar age from BMC Urology
#12
of 16 outputs
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We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.