Does prior PCNL affect RIRS? A retrospective analysis of a single center data.

Autor: Çil G; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey. cilgok@gmail.com., Yilmaz M; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Sahin Y; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Ulus İ; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Canıtez İO; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Şahin S; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Sabuncu A; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Semercioz A; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey., Muslumanoglu AY; Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, 34200, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: International urology and nephrology [Int Urol Nephrol] 2024 Oct; Vol. 56 (10), pp. 3187-3191. Date of Electronic Publication: 2024 May 07.
DOI: 10.1007/s11255-024-04071-z
Abstrakt: Purpose: The aim of this study is to investigate the results and safety of retrograde intrarenal surgery (RIRS) in patients who have previously undergone percutaneous nephrolithotomy (PCNL).
Methods: A retrospective analysis included patients who underwent RIRS for kidney stones between August 2018 and April 2023. Group 1 comprised 396 patients who underwent primary RIRS, while Group 2 included 231 individuals who had RIRS after previous PCNL. Evaluation parameters included preoperative characteristics, stone attributes, operative details, treatment outcomes, stone-free status, and complications. Statistical analysis utilized Student's t test, Mann-Whitney U test, and Pearson Chi-square test (p < 0.05).
Results: The mean age, body mass index, stone number, mean stone burden, and SFS were not statistically different between the groups. Lower pole stones were identified in 144 patients in Group 1 and 88 patients in Group 2 (p = 0.315). In Group 1 and Group 2, the mean operation time and fluoroscopy time were 65.23 ± 18.1 min, 81.32 ± 14.3 min, 26.34 ± 8.31 s, 46.61 ± 7.6 s, respectively, showing statistically significant differences between the groups (p = 0.013, p < 0.001, respectively). Infundibulum stenosis was identified and treated with a laser in 12% of Group 2 cases. Complications occurred in 12 patients in Group 1 and 14 patients in Group 2 (p = 0.136).
Conclusion: A history of PCNL may contribute to extended operation times and increased fluoroscopy exposure in subsequent RIRS without significantly affecting postoperative SFS or complication rates.
(© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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