The Impact of Comorbidities on the Efficacy of Percutaneous Nephrolitotomy (PCNL) in Elderly Patients
| Autor: | Adrian Cornel Maier, Daniel Porav-Hodade, Orsolya Martha, Ciprian Todea-Moga, Radu Boja, Oliver Vida |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry lithiasis 030232 urology & nephrology social sciences comorbidities humanities renal stones Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Medicine General Pharmacology Toxicology and Pharmaceutics pcnl business General Dentistry |
| Zdroj: | Acta Medica Marisiensis, Vol 62, Iss 2, Pp 243-247 (2016) |
| ISSN: | 2247-6113 |
| DOI: | 10.1515/amma-2016-0025 |
| Popis: | Introduction: The objective of this study is to evaluate the efficacy and safety of PCNL as a method of treatment of renal stones in elderly patients. Material and method: This was a retrospective study conducted over a period of 5 years in the Clinic of Urology, where we analyzed the surgical protocols and case reports of 56 patients who underwent PCNL intervention. Results: The incidence of urolithiasis was higher in females 69.6% (n = 39) than in males 30.4% (n = 17). Comorbidities included hypertension (48.2%), chronic ischemic cardiopathy (28.6%), chronic cardiac failure (16.1%), type II diabetes (17.9%), obesity (39.3%), chronic renal failure (8.9%), chronic or recurrent urinary tract infections (30.4%), history of kidney stones (21.4%), solitary kidney surgery (1.8%), renal malformation (horseshoe kidney and renal incomplete duplication) (3.6%), urethral stricture (3.6%). Nine patients had a duble “J” catheter inserted on admission. The group of male patients presented prostate hyperplasia in 35.3% of the cases and prostate carcinoma in 5.9% of the cases. Conclusions: PCNL is an effective and safe treatment of kidney stones in elderly patients, with a stone- free rate increased despite existing comorbidities. The presence of comorbidities requires careful preoperative evaluation. PCNL in elderly patient has similar results to those seen in younger patients. |
| Databáze: | OpenAIRE |
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