Does gender influence retrograde intrarenal surgery (RIRS) outcomes? Data from the Flexible Ureteroscopy Outcomes Registry (FLEXOR)

Emiliani E 1 , Sanz-Gómez I 2 , Somani B 3 , Tailly T 4 , Castellani D 5 , Traxer O 6 Show all authors , Yuen-Chun Teoh J 7 , Chew B 8 , Ong Lay Keat W 9 , Chai CA 10 , Bin-Hamri S 11 , Shrestha A 12 , Soehabali B 13 , Angerri O 2 , Gauhar V 14 , en representación del grupo TOWER (Team of Worldwide Endourological Researchers)

Affiliations 

  • 1 Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain. Electronic address: emiliani@gmail.com
  • 2 Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
  • 3 Servicio de Urología, Hospital Universitario de Southampton, NHS Trust, Southampton, United Kingdom
  • 4 Servicio de Urología, Hospital Universitario de Gante, Gante, Belgium
  • 5 Servicio de Urología, Azienda Ospedaliero-Universitaria delle Marche, Universidad Politécnica Marche, Ancona, Italy
  • 6 Servicio de Urología, Universidad de La Sorbona, Hospital Tenon (AP-HP), París, France
  • 7 Servicio de Cirugía, Clínica de Urología S.H. Ho, Facultad de Medicina, Universidad China de Hong Kong, Hong Kong, China
  • 8 Departamento de Urología, Universidad de British Columbia, Vancouver, Canada
  • 9 Servicio de Urología, Hospital General de Penang, Georgetown, Malaysia
  • 10 Departamento de Urología, Universidad de Malaya, Kuala Lumpur, Malaysia
  • 11 Servicio de Urología, King Abdulaziz National Guard Medical City, Riad, Saudi Arabia
  • 12 Servicio de Urología, Hospital Bir, Academia Nacional de Ciencias Médicas, Katmandú, Nepal
  • 13 Departamento de Urología, Facultad de Medicina, Universidad de Mulawarman, Hospital Abdul Wahab Sjahranie, Samarinda, Indonesia
  • 14 Servicio de Urología, Hospital General Ng Teng Fong, Singapur, Singapore
Actas Urol Esp (Engl Ed), 2023 Nov;47(9):581-587.
PMID: 37369300 DOI: 10.1016/j.acuroe.2023.06.008

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 characteristics 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 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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