Long-term follow-up on dusting versus basketing during ureteroscopy: a prospective multicenter trial from the EDGE Research Consortium

• Published in: Urolithiasis Vol. 51; no. 1; p. 70
• Main Authors: Stern, Karen L., Sur, Roger L., Lim, Elisabeth S., Kong, Emily, Wong, K. F. Victor, Brar, Harmenjit, Moore, Jonathan, Berger, Jonathan H., Bechis, Seth K., Monga, Manoj, Sivalingam, Sri, Humphreys, Mitchell R., Chew, Ben H.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 15.04.2023; Springer Nature B.V
• Subjects: Emergency medical care; Female; Follow-Up Studies; Humans; Kidney Calculi - therapy; Male; Medical Biochemistry; Medicine; Medicine & Public Health; Nephrology; Patient admissions; Prospective Studies; Treatment Outcome; Ureteroscopy - methods; Urology; Laser lithotripsy; Nephrolithiasis; Ureteroscopy; Urolithiasis
• ISSN: 2194-7236; 2194-7228; 2194-7236
• DOI: 10.1007/s00240-023-01439-1

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 found no difference in stone-free rate at 3 months. We report the intermediate and long-term outcomes of patients included in the original trial. Two analyses were performed. At 1-year, a retrospective chart review was performed, and data collected on stone episodes, Emergency Department (ED) visits, hospital admissions and surgical interventions. To obtain long-term outcomes, the four sites with the largest initial accrual were included in a second phase of data collection with updated analyses. The patients from those sites were contacted, re-consented, and data were collected on stone surgical interventions, stone episodes, stone recurrences on imaging, emergency department (ED) visits, and hospital admissions for stone-related care since their original procedure. One-year follow-up data were collected in 111 of the original 159 (69.8%) patients from the nine sites. There were no statistically significant differences in the number of painful episodes, ED visits, hospital admissions, or surgical interventions. 94 patients from four sites were included in the long-term analysis. There were no statistically significant differences in surgical interventions, painful stone episodes, stone recurrence on imaging, ED visits or hospitalizations for stone-related events between the two groups. Long-term outcomes of dusting versus basketing during ureteroscopy indicate that there are no significant differences in clinical outcomes between the two surgical modalities.