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Dose routine intraoperative Double J stent insertion avoid urine leakage after open partial nephrectomy?
(PAGEPRESS PUBL, 2022-01-01) Bosnali, Efe; Dillioglugil, Ozdal; Teke, Kerem; Yilmaz, Hasan; Bayrak, Busra Yaprak; Uslubas, Ali Kemal; Avci, Ibrahim Erkut; Argun, Omer Burak; Kara, Onder
Objective: To evaluate the impact of Double stent (DJS) insertion during open partial nephrectomy (OPN) on postoperative prolonged urinary leakage. Materials and methods: A retrospective study was made in consecutive cases of OPN performed between 2002 and 2020 for localized kidney tumors at our tertiary center. Urinary leakage was defined as drainage > 72 hours after surgery by biochemical analysis consistent with urine or radiographic evidence of urine leakage. The patients were divided into two groups according to intraoperative DJS placement, and compared regarding clinicopathologic characteristics, perioperative and postoperative outcomes. Univariate and multivariate logistic regression analyses were performed to determine the factors associated with urinary leakage after the operation. Results: Review of records identified 182 patients who were included in the study. In 73 (40\%) patients PN was performed without insertion of a DJS. Thus, 109 (60\%) of patients had a DJS inserted. Apart from higher preoperative eGFR values among patients with DJS (96.6 vs. 94.3 mL/min/1.73 m(2)