Evaluation of Factors Affecting Success Rate in Percutaneous Nephrolithotomy: A Five-Year Experience

Autor: Sevgin Yılmaz, Murat Topcuoğlu, Fuat Demirel
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Urological Surgery, Vol 10, Iss 3, Pp 245-252 (2023)
Druh dokumentu: article
ISSN: 2148-9580
DOI: 10.4274/jus.galenos.2023.2022.0068
Popis: Objective:To analyze the parameters that are believed to impact the success rate in patients undergoing percutaneous nephrolithotomy and to determine the factors that have a significant effect.Materials and Methods:Success rates of 508 patients who underwent percutaneous nephrolithotomy were determined over a five-year period. Evaluation was performed with the medical history, non-contrast computerized tomography, and clinical research form in the first, third, and sixth months postoperatively. Patient characteristics, stone characteristics, and operation details were analyzed, and their effects on success were investigated. In the evaluation of the success rate, the results of the first month, were considered.Results:No significant difference was shown between the successful and unsuccessful groups in terms of demographic features. Morbidities such as body mass index, hypertension, diabetes mellitus, hyperlipidemia, and heart disease had no effect on success. Solitary kidney or congenital renal anomaly, degree of hydronephrosis, and high preoperative serum urea creatinine levels did not have a significant impact on the success rate. Significant effects of parameters such as stone volume greater than 15 cm2, complex stones, infection and cystine stones, intraoperative complication rate, and operation time on success were investigated (p
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