PD54-11 LONG-TERM FOLLOW-UP ON DUSTING VERSUS BASKETING DURING URETEROSCOPY – A PROSPECTIVE MULTICENTER TRIAL FROM THE EDGE RESEARCH CONSORTIUM

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy IV (PD54)1 Sep 2021PD54-11 LONG-TERM FOLLOW-UP ON DUSTING VERSUS BASKETING DURING URETEROSCOPY – A PROSPECTIVE MULTICENTER TRIAL FROM THE EDGE RESEARCH CONSORTIUM Karen Stern, Mitchell Humphreys, Sri Sivalingam, Manoj Monga, Seth Bechis, Jonathan Moore, Emily Kong, Harmenjit Brar, Victor Wong, Ben Chew, and Roger Sur Karen SternKaren Stern More articles by this author , Mitchell HumphreysMitchell Humphreys More articles by this author , Sri SivalingamSri Sivalingam More articles by this author , Manoj MongaManoj Monga More articles by this author , Seth BechisSeth Bechis More articles by this author , Jonathan MooreJonathan Moore More articles by this author , Emily KongEmily Kong More articles by this author , Harmenjit BrarHarmenjit Brar More articles by this author , Victor WongVictor Wong More articles by this author , Ben ChewBen Chew More articles by this author , and Roger SurRoger Sur More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002081.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In 2018 the Endourology Disease Group for Excellence (EDGE) published a prospective trial comparing dusting versus basketing during ureteroscopy. One hundred fifty-nine patients were included in the original analysis, which compared stone-free rates at 3 months. Short-term stone-free rate was higher for the basket retrieval group on univariate analysis, but not multivariate analysis. This study investigates the long-term outcomes of those patients included in the original trial. METHODS: IRB approval was obtained across all sites. Patients who were enrolled in the original study were contacted via phone and asked to report stone surgical interventions, painful stone episodes, stone recurrences on imaging, and Emergency Department (ED) visits for stones and hospital admissions for stone-related care since their procedure. Chart reviews were also completed. The primary study outcome was the need for secondary surgical procedures for stone treatment. RESULTS: 79 patients were contacted from 4 sites (Mayo Clinic, University of British Columbia, Cleveland Clinic and the University of California San Diego). Sixty patients were in the basketing arm and 19 in the dusting (p < .001). Mean follow-up was 6.28 years for the dusting group and 6.49 years for the basketing group. There was no statistically significant difference in stone interventions, painful stone episodes, Emergency Department visits, or hospital admissions between the two groups (see table). There was a statistically significant difference in documented stone recurrence on imaging for dusting versus basketing (68.4% vs 40%, p = 0.030). CONCLUSIONS: Long-term outcomes of dusting versus basketing during ureteroscopy indicate that dusting is associated with higher stone recurrence on imaging, but there is no difference in secondary stone interventions, painful stone episodes, ED visits or hospital admissions for stone events. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e927-e927 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Karen Stern More articles by this author Mitchell Humphreys More articles by this author Sri Sivalingam More articles by this author Manoj Monga More articles by this author Seth Bechis More articles by this author Jonathan Moore More articles by this author Emily Kong More articles by this author Harmenjit Brar More articles by this author Victor Wong More articles by this author Ben Chew More articles by this author Roger Sur More articles by this author Expand All Advertisement Loading ...