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    Comparison of the Effectiveness and Financial Aspects ofEmergent Ureterorenoscopy and Elective Ureterorenoscopy inPatients with Symptomatic Ureteral Calculi
    (2020) Karademir, Ahmet Kenan; Albayrak, Ahmet Tevfik; Soydan, Hasan; Malkoç, Ercan; Yeşildal, Cumhur; Oysul, Güven; Ateş, Ferhat
    Objective: In this study, we aimed to compare the efficacy, complications, and financial aspects of urgent ureteroscopy (URS) with elective URS in patients who applied with the acute flank pain caused by ureteral calculi. Material and Methods: The records of 70 adult patients, who applied to the emergency and urology department at Gata Haydarpasa Research and Training Hospital between June 2012 and May 2014 evaluated prospectively. Patients were divided into two group including the patients with colic pain that had started within 12 hours before admission who also agreed to be operated urgently (Group 1: acute URS) and the patients who requested the necessary intervention only if spontaneous passage cannot be provided (Group 2: elective URS). Kidney, ureter, bladder radiography (KUB), and urinary ultrasonography (USG) were applied to all patients. A total of 16 urgent and 19 elective URSs were performed. Results: The average treatment cost of the urgent URS patients was found to be 855.00 TL (143.78 €) per payment, and the average treatment cost of the elective URS patients was found to be 979.00 TL (164.63 €) (p<0.001) per patient. These results were statistically significant. Conclusion: Urgent URS is a treatment modality that requires minimal additional treatment. Besides, the patients can turn back to their social activities earlier, and it also reduces the psychological side-effects of urolithiasis. Although the superiority of one method over another cannot be concluded with this study, the application of urgent URS costs less compared to elective URS.