World Journal of Urology (2019) 37:213 https://doi.org/10.1007/s00345-018-2356-x LE T TER TO THE EDITOR Author reply: Letter to editor on the effect of corticosteroid on postoperative early pain, renal colic and total analgesic consumption after uncomplicated and unstented ureteroscopy: a matched‑pair analysis by Mark C. Kendall Nurullah Hamidi Received: 21 May 2018 / Accepted: 25 May 2018 / Published online: 1 June 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Dear Editor, We did not give intraoperative dexamethasone. As men- tioned in the discussion section of our article, dexametha- We would like to thank to Dr. Kendall for his thought- sone is one of the long-acting corticosteroid. Long-acting ful and insightful comments regarding our study . corticosteroids have higher risk in term of permanent side Dr. Kendall mentioned that there are some questions that effect such as adrenocortical insufficiency compared with need to be clarified [ 2]. I appreciate the comments and ques- short-acting corticosteroid . On the other hand, methyl- tions and hope that the answers provided will help address prednisolone is used routinely at many clinic in our coun- any concerns. try to prevent postoperative edema at surgical area. Based Dr. Kendall raises the concern of standardization of intra- on these, we preferred to give methylprednisolone to our operative analgesics, which may have a significant effect on patients. postoperative outcome regarding pain. At our institution, Finally, I agree with Dr. Kendall regarding the statistical anesthesiologists follow a standard intraoperative analgesia analysis. protocol for all ureterorenoscopy procedures. Our anesthesi- ologists give routinely intraoperative opioid (Remifentanil) Compliance with ethical standards to all ureterorenoscopy patients. Actually, we do not expect Conflict of interest I declare that they have no conflict of interest. of opioids given to patients of both group will change the statistical results. However, we gave diclofenac sodium (p.o.) and alpha blockers preoperatively to some patients as medi- References cal expulsive therapy to reduce requirement of ureterorenos- copy procedure. This may significantly affect the preopera - 1. Hamidi N, Ozturk E, Yikilmaz TN, Atmaca AF, Basar H (2018) tive (basal) pain scores of our patients. When we reviewed The effect of corticosteroid on postoperative early pain, renal our patients’ data, we observed similar medical expulsive colic and total analgesic consumption after uncomplicated and therapy rate for two groups (25 and 27.7% for group I and unstented ureteroscopy: a matched-pair analysis. World J Urol 2:1–6. https ://doi.org/10.1007/s0034 5-018-2210-1 group II, respectively). In our study, mean preoperative pain 2. Kendall Mark C (2018) Comment on: “The effect of corticoster - scores for both group were statistically similar (p = 0.77). oid on postoperative early pain, renal colic and total analgesic Another question of Dr. Kendall is about our patients consumption after uncomplicated and unstented ureteroscopy: received intraoperative dexamethasone whether or did not. a matched-pair analysis”. World J Urol. https ://doi.org/10.1007/ s0034 5-018-2324-5 3. Dora L, Alexandra A, Leanne W et al (2013) A practical guide to the monitoring and management of the complications of systemic This reply refers to the comment available at https ://doi. corticosteroid therapy. Allergy Asthma Clin Immunol 9:30 org/10.1007/s0034 5-018-2324-5. * Nurullah Hamidi email@example.com Department of Urology, Atatürk Training and Research Hospital, Universiteler Mah, No:1, Cankaya, 06430 Ankara, Turkey Vol.:(0123456789) 1 3
World Journal of Urology – Springer Journals
Published: Jun 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera