Research Article

Application of Suctioning Ureteral Access Sheath during Flexible Ureteroscopy for Renal Stones Decreases the Risk of Postoperative Systemic Inflammatory Response Syndrome

Table 1

Preoperative characteristics stratified by surgery type before and after propensity score matching.

VariablesBefore propensity score matchingAfter propensity score matching
Nonsuctioning UAS group (363)Suctioning UAS group (81) valueNonsuctioning UAS group (81)Suctioning UAS group (81) value

Sex, n (%)0.8060.617
 Female138 (38.0%)29 (35.8%)25 (30.9%)29 (35.8%)
 Men225 (62.0%)52 (64.2%)56 (69.1%)52 (64.2%)
Age (years)0.7400.883
 Median (Q1, Q3)49.0 (40.0, 58.0)51 (42.0, 57.0)50.0 (43.0, 57.0)51.0 (42.0, 57.0)
BMI (kg/m2)0.5120.735
 Median (Q1, Q3)23.7 (21.6, 25.7)23.7 (22.1, 26.1)24.2 (21.8, 26.3)23.7 (22.1, 26.1)
Diabetes mellitus, n (%)0.2431.000
 Yes35 (9.64%)12 (14.8%)12 (14.8%)12 (14.8%)
 No328 (90.4%)69 (85.2%)69 (85.2%)69 (85.2%)
Hypertension, n (%)0.9521.000
 Yes59 (16.3%)14 (17.3%)13 (16.0%)14 (17.3%)
 No304 (83.7%)67 (82.7%)68 (84.0%)67 (82.7%)
Albumin0.2200.827
 Mean (SD)40.7 (3.86)41.2 (3.73)41.1 (3.38)41.2 (3.73)
Globulin0.9340.785
 Mean (SD)--28.1 (4.98)27.9 (4.01)
 Median (Q1, Q3)27.3 (24.9, 29.8)27.8 (24.5, 31.2)--
AGR0.4100.796
 Mean (SD)1.48 (0.34)1.51 (0.29)1.50 (0.29)1.51 (0.29)
WBC0.3400.758
 Median (Q1, Q3)5.85 (4.89, 7.13)5.86 (4.67, 6.84)5.67 (4.77, 6.72)5.86 (4.67, 6.84)
Urine WBC, n (%)<0.0011.000
 −123 (33.9%)62 (76.5%)62 (76.5%)62 (76.5%)
 +240 (66.1%)19 (23.5%)19 (23.5%)19 (23.5%)
Urine culture, n (%)0.1971.000
 −320 (88.2%)76 (93.8%)76 (93.8%)76 (93.8%)
 +43 (11.8%)5 (6.17%)5 (6.17%)5 (6.17%)
Urine nitrate, n (%)0.5481.000
 −347 (95.6%)79 (97.5%)79 (97.5%)79 (97.5%)
 +16 (4.41%)2 (2.47%)2 (2.47%)2 (2.47%)
Preoperative fever, n (%)<0.0011.000
 Yes98 (27.0%)3 (3.70%)3 (3.70%)3 (3.70%)
 No265 (73.0%)78 (96.3%)78 (96.3%)78 (96.3%)
Hydronephrosis0.3910.278
 Yes332 (91.5%)71 (87.7%)5 (6.17%)10 (12.3%)
 No31 (8.54%)10 (12.3%)76 (93.8%)71 (87.7%)
Preoperative indwelling stent, n (%)0.0050.682
 Absent245 (67.5%)68 (84.0%)65 (80.2%)68 (84.0%)
 Present118 (32.5%)13 (16.0%)16 (19.8%)13 (16.0%)
Number of stones, n (%)0.057
 1202 (55.6%)35 (43.2%)43 (53.1%)35 (43.2%)
 ≥2161 (44.4%)46 (56.8%)38 (46.9%)46 (56.8%)
Stone size (mm)0.1080.714
 Median (Q1, Q3)19.0 (16.0, 22.0)19.0 (17.0, 23)20.0 (17.0, 23.0)19.0 (17.0, 23.0)
Location1.000
 Upper/middle pole211 (58.1%)47 (58.0%)56 (69.1%)47 (58.0%)
 Lower pole152 (41.9%)34 (42.0%)25 (30.9%)34 (42.0%)
Laterality of stones, n (%)0.0011.000
 Left175 (48.2%)22 (27.2%)22 (27.2%)22 (27.2%)
 Right188 (51.8%)59 (72.8%)59 (72.8%)59 (72.8%)

BMI, body mass index; AGR, albuminglobulin ratio; WBC, white blood cell; fURS, flexible; UAS, ureteral access sheath.