{"id":"https://openalex.org/W4387976583","doi":"https://doi.org/10.7759/cureus.47815","title":"Challenges of Retrograde Ureteroscopic Procedures in Overweight Patients","display_name":"Challenges of Retrograde Ureteroscopic Procedures in Overweight Patients","publication_year":2023,"publication_date":"2023-10-27","ids":{"openalex":"https://openalex.org/W4387976583","doi":"https://doi.org/10.7759/cureus.47815","pmid":"https://pubmed.ncbi.nlm.nih.gov/38022059","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10676747"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.47815","doi":"https://doi.org/10.7759/cureus.47815","is_oa":true,"landing_page_url":"http://dx.doi.org/10.7759/cureus.47815","pdf_url":"https://www.cureus.com/articles/200430-challenges-of-retrograde-ureteroscopic-procedures-in-overweight-patients.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/200430-challenges-of-retrograde-ureteroscopic-procedures-in-overweight-patients.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104293773","display_name":"Abdolsalam Ahmadi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Abdolsalam Ahmadi","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029528639","display_name":"Ahmed A Al Rashed","orcid":"https://orcid.org/0000-0002-1072-3873","observed_orcids":["https://orcid.org/0000-0002-1072-3873"]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":true,"raw_author_name":"Ahmed A Al Rashed","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055131340","display_name":"Omran Hasan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Omran Hasan","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama , BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama , BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093132250","display_name":"Batool M Turki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Batool M Turki","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083829032","display_name":"Ali H Al Aradi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Ali H Al Aradi","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035158312","display_name":"Khalid Abdulaziz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Khalid Abdulaziz","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114094265","display_name":"Nader Awad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Nader Awad","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103902513","display_name":"Akbar Jalal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854810","display_name":"Salmaniya Medical Complex","ror":"https://ror.org/04461gd92","country_code":"BH","type":"healthcare","lineage":["https://openalex.org/I2799854810","https://openalex.org/I4210163255"]}],"countries":["BH"],"is_corresponding":false,"raw_author_name":"Akbar Jalal","raw_affiliation_strings":["Urology, Salmaniya Medical Complex, Manama, BHR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Salmaniya Medical Complex, Manama, BHR","institution_ids":["https://openalex.org/I2799854810"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5029528639"],"corresponding_institution_ids":["https://openalex.org/I2799854810"],"apc_list":null,"apc_paid":null,"fwci":0.5337,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.61662026,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"15","issue":"10","first_page":"e47815","last_page":"e47815"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.6940000057220459},{"id":"https://openalex.org/keywords/overweight-patients","display_name":"overweight patients","score":0.8930000066757202},{"id":"https://openalex.org/keywords/urolithiasis","display_name":"urolithiasis","score":0.9879999756813049},{"id":"https://openalex.org/keywords/ureteral-stones","display_name":"ureteral stones","score":0.746999979019165},{"id":"https://openalex.org/keywords/kidney-stones","display_name":"kidney stones","score":0.9580000042915344},{"id":"https://openalex.org/keywords/stone-free-rate","display_name":"stone-free rate","score":0.8149999976158142},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9629999995231628},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.7720000147819519}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9584514498710632},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.9017670154571533},{"id":"https://openalex.org/C2780653459","wikidata":"https://www.wikidata.org/wiki/Q2500530","display_name":"Ureteroscopy","level":3,"score":0.8299033641815186},{"id":"https://openalex.org/C2776664737","wikidata":"https://www.wikidata.org/wiki/Q9385","display_name":"Ureter","level":2,"score":0.8011506199836731},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.6142516136169434},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5058650374412537},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.4649309813976288},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4552733302116394},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.39876651763916016},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.21942570805549622},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.47815","doi":"https://doi.org/10.7759/cureus.47815","is_oa":true,"landing_page_url":"http://dx.doi.org/10.7759/cureus.47815","pdf_url":"https://www.cureus.com/articles/200430-challenges-of-retrograde-ureteroscopic-procedures-in-overweight-patients.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10676747","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10676747","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10676747/pdf/cureus-0015-00000047815.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:38022059","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38022059","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.47815","doi":"https://doi.org/10.7759/cureus.47815","is_oa":true,"landing_page_url":"http://dx.doi.org/10.7759/cureus.47815","pdf_url":"https://www.cureus.com/articles/200430-challenges-of-retrograde-ureteroscopic-procedures-in-overweight-patients.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387976583.pdf","grobid_xml":"https://content.openalex.org/works/W4387976583.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W67097329","https://openalex.org/W1566344740","https://openalex.org/W1986147394","https://openalex.org/W2036169535","https://openalex.org/W2037603708","https://openalex.org/W2076782020","https://openalex.org/W2096998881","https://openalex.org/W2147333920","https://openalex.org/W2197461557","https://openalex.org/W2347164956","https://openalex.org/W4210913028","https://openalex.org/W4313345096"],"related_works":["https://openalex.org/W2197461557","https://openalex.org/W3176216907","https://openalex.org/W1984542332","https://openalex.org/W2557297588","https://openalex.org/W2091438546","https://openalex.org/W2002876041","https://openalex.org/W4205261386","https://openalex.org/W4415189918","https://openalex.org/W2036169535","https://openalex.org/W2594561420"],"abstract_inverted_index":{"BACKGROUND:":[0],"Obesity":[1],"and":[2,19,33,65,103,111,116,158,164,178,200,256,260,292,306,330,368],"urolithiasis":[3,29,326],"are":[4,318,335,354],"both":[5,31,328,343],"prevalent":[6],"conditions":[7],"that":[8,40],"have":[9,38,133,135,338],"an":[10],"impact":[11],"on":[12,56,228],"the":[13,26,57,74,78,88,119,148,154,182,214,229],"healthcare":[14],"system.":[15],"The":[16,80,109,250],"ureteric":[17,102,222,346],"diameter":[18,48],"accessibility":[20],"play":[21],"a":[22,71,136,220,246,280,319],"crucial":[23],"role":[24],"in":[25,30,46,63,70,98,130,161,258,268,327,360],"management":[27],"of":[28,73,82,90,195,209,233,248],"overweight":[32,99,199,210,259,329,361],"normal":[34,203,234,261,269,298,331],"weight":[35,204,235,262,270,299,332],"patients.":[36,205,362],"Studies":[37],"shown":[39,336,355],"obesity":[41],"can":[42,53,68],"lead":[43],"to":[44,61,86,134,141,150,153,174,181,213,219,278,337,356],"changes":[45],"ureter":[47,215],"where":[49],"excessive":[50],"body":[51],"fat":[52],"exert":[54],"pressure":[55],"kidneys,":[58],"causing":[59],"them":[60],"enlarge":[62],"size":[64,190],"this":[66,83,238,273],"enlargement":[67],"result":[69],"compression":[72],"adjacent":[75],"structures,":[76],"including":[77],"ureter.":[79],"aim":[81],"study":[84],"is":[85,266,348],"assess":[87],"incidence":[89],"intraoperative":[91],"challenges":[92],"faced":[93,237],"during":[94],"retrograde":[95],"ureteroscopic":[96,316],"procedures":[97,317],"patients":[100,126,193,236,263,271,287,300,324],"with":[101,118,224,245,310,325],"renal":[104],"calculi.":[105],"METHODS:":[106],"August":[107],"2023.":[108],"outcome":[110],"any":[112],"complications":[113,170,296,305],"were":[114,171,198,202,254],"documented":[115],"compared":[117],"patient's":[120],"Body":[121],"Mass":[122],"Index":[123],"(BMI).":[124],"All":[125],"who":[127],"undergo":[128],"RURS":[129],"our":[131],"facility":[132],"Non-Contrast":[137],"CT":[138],"scan":[139],"prior":[140],"surgery.":[142],"Procedural":[143],"success":[144,340],"was":[145,191,216,242,275],"determined":[146],"by":[147],"ability":[149],"obtain":[151],"access":[152,212,347,351],"stone":[155,251],"site":[156],"intraoperatively":[157],"stone-free":[159],"status":[160],"kidney,":[162],"ureter,":[163],"bladder":[165],"(KUB)":[166],"X-ray":[167],"post-operatively.":[168],"Post-operative":[169],"recorded":[172],"up":[173],"two":[175],"weeks":[176],"post-operatively":[177],"classified":[179],"according":[180],"Calvein":[183],"Dindo":[184],"Classification.":[185],"RESULTS:":[186],"Our":[187],"total":[188],"sample":[189],"146":[192],"out":[194],"which":[196,265],"75":[197],"71":[201],"In":[206],"34":[207],"(45%)":[208],"patients'":[211],"restricted":[217],"due":[218],"narrow":[221],"orifice":[223],"ureteroscopy":[225],"not":[226,276],"successful;":[227],"contrary":[230],"13":[231],"(18%)":[232],"same":[239],"issue.":[240],"This":[241],"statistically":[243,281],"significant":[244,282],"p-value":[247],".004.":[249],"clearance":[252],"rates":[253,341,353],"91%":[255],"95%":[257],"respectively,":[264],"higher":[267,359],"however":[272],"difference":[274],"found":[277],"be":[279,357,372],"finding":[283],"(p-value":[284],".028).":[285],"Overweight":[286],"had":[288,301],"12%":[289],"Grade":[290,294,303,308],"I":[291,304],"8%":[293],"II":[295,309],"whereas":[297],"11%":[302],"1.4%":[307],"no":[311],"higher-grade":[312],"complications.":[313],"CONCLUSION:":[314],"Retrograde":[315],"safe":[320],"treatment":[321],"modality":[322],"for":[323],"populations.":[333],"They":[334],"similar":[339],"between":[342],"populations":[344],"once":[345],"obtained.":[349],"However,":[350],"failure":[352],"slightly":[358],"Hence,":[363],"further":[364],"preoperative":[365],"patient":[366],"counselling":[367],"technical":[369],"considerations":[370],"should":[371],"undertaken.":[373]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-10-28T00:00:00"}
