Müller, Maximilian Reinhard and Schnabel, Marco Julius and Oppolzer, Immanuel Augustin and Gossler, Christopher and Burger, Maximilian and Thalgott, Mark (2025) Outpatient versus Inpatient Ureterorenoscopy: A Retrospective Dual-Center Analysis. UROLOGIA INTERNATIONALIS. ISSN 0042-1138, 1423-0399
Full text not available from this repository. (Request a copy)Abstract
Introduction: Germany's 2025 hospital reform promotes outpatient care, yet ureterorenoscopy (URS) remains predominantly inpatient. This study compares outcomes of outpatient versus inpatient URS. Methods: This retrospective, dual-center study compared patients who underwent URS in either an inpatient (Regensburg) or outpatient (Landshut) setting. Surgical parameters, stone-free status, and postoperative complications (classified by Clavien-Dindo) were analyzed. Risk factors for complications were evaluated using chi-square testing. Results: Baseline characteristics were comparable between groups. Complication rates - particularly Clavien-Dindo grade II - were higher in the outpatient cohort. Residual stone rates, surgical time, and postoperative fever did not differ significantly. Residual stones (p < 0.001) and surgical time above the median (p = 0.003) were identified as significant risk factors for postoperative complications. Conclusion: Outpatient URS is a safe and effective alternative to inpatient treatment, with comparable stone-free rates, operative times, and postoperative fever incidence. The higher rate of minor complications in the outpatient setting likely reflects a more precautionary antibiotic management strategy rather than increased clinical severity. These findings support broader implementation of outpatient URS, while emphasizing the need for antibiotic stewardship and further prospective, multicenter investigations.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | URETEROSCOPY; FEASIBILITY; SAFETY; Urolithiasis; Ureteronoscopy; Outpatient urology; Outpatient care; Surgical outcomes |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 Aug 2026 06:16 |
| Last Modified: | 12 Aug 2026 06:16 |
| URI: | https://pred.uni-regensburg.de/id/eprint/66516 |
Actions (login required)
 |
View Item |
