Effects of severe hydronephrosis on the outcomes of percutaneous nephrolithotomy with one-shot dilation method
| Autor: | Cemal Selcuk Isoglu, Cem Yücel, Uygar Micoogullari, Mehmet Zeynel Keskin, Tufan Sueluzgen, Yusuf Ozlem Ilbey, Erdem Kisa |
|---|---|
| Přispěvatelé: | İLBEY, YUSUF ÖZLEM |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Stone free medicine.medical_treatment 030232 urology & nephrology macromolecular substances Hydronephrosis Nephrolithotomy Percutaneous Hemoglobins Kidney Calculi 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine Humans Fluoroscopy Percutaneous nephrolithotomy Nephrostomy Percutaneous Retrospective Studies One shot Creatinine medicine.diagnostic_test business.industry General Medicine medicine.disease Dilatation Surgery Treatment Outcome chemistry 030220 oncology & carcinogenesis Female business Body mass index |
| Zdroj: | Urologia Journal. 89:221-225 |
| ISSN: | 1724-6075 0391-5603 |
| Popis: | Objective: To investigate the effect of the presence of severe hydronephrosis on percutaneous nephrolithotomy (PNL) outcome in patients who underwent PNL operation with one-shot dilatation technique. Materials and methods: Medical data of 989 patients underwent PNL operation in our clinic between 2012 and 2018 were retrospectively reviewed. We included 373 of the patients underwent PNL operation due to renal pelvic stone, who were older than 18 years of age, who did not have any urinary tract abnormality, and had no previous history of open renal stone operation. Patients were divided into two groups according to the presence of severe hydronephrosis and absence of hydronephrosis. These two groups were compared in terms of age, gender, body mass index (BMI), number of stones, stone burden, operation duration, fluoroscopy time, hospitalization time, hemoglobin and creatinine change, complications, and stone free rate. Results: There was no statistically significant difference between the groups in terms of age, gender, BMI, stone number, stone size, stone density, operation duration, fluoroscopy time, and hospitalization duration. The mean change in hemoglobin was 1.5 g/dL in group 1 and 1.1 g/dL in group 2. This difference was statistically significant ( p = 0.006). Postoperative blood transfusion was required for 3 patients (2.1%) in group 1 and 12 patients (5.1%) in group 2. This difference was statistically significant ( p Conclusion: Only the presence of severe hydronephrosis was found to be associated with the change in hemoglobin and postoperative blood transfusion. |
| Databáze: | OpenAIRE |
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