Balloon dilatation versus Amplatz dilatation for nephrostomy tract dilatation

Journal of Endourology
Murat GönenHakan Ozkardes

Abstract

In this study, we present our experience using balloon and Amplatz dilatation to establish a percutaneous tract. We also discuss advantages and risk factors of both techniques. We retrospectively reviewed medical records of 229 patients who had undergone 235 percutaneous nephrolithotomy procedures. The nephrostomy tract had been dilated using a balloon (42 patients) or Amplatz (187 patients) dilator. Total operating time, preoperative and postoperative hemoglobin concentrations, number of tracts required, stone burden, blood transfusion rates, tract dilatation failures, and the cost of the dilatation system were compared between the groups. There were no statistically significant differences in operative time (85.7+/-43.2 v 86.3+/-41.2 minutes; P=0.42), preoperative hemoglobin concentration (14.1+/-1.1 v 13.8+/-1.4 mg/dL; P= .153), postoperative hemoglobin concentration (11.6+/-1.7 v 11.2+/-1.5 mg/dL; P= .601), or blood transfusion rate (18.6% v 21.3%; P= .687) between the two groups. Also, there were no differences in failure rates between the two groups. The Amplatz dilator is comparable with the balloon dilator with regard to efficacy, speed, and safety. The Amplatz dilator is more cost-effective than the balloon dilator. Ho...Continue Reading

References

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Citations

Sep 28, 2010·World Journal of Urology·Ayhan DirimHakan Ozkardes
Jun 30, 2009·Journal of Endourology·Felix WezelPeter Alken
Jan 11, 2011·Journal of Endourology·Tolga AkmanAhmet Tefekli
Sep 10, 2011·Therapeutic Advances in Urology·Rakesh Khanna, Manoj Monga
Nov 28, 2012·The Urologic Clinics of North America·Jodi A Antonelli, Margaret S Pearle
Jan 17, 2012·European Urology·James N ArmitageUNKNOWN British Association of Urological Surgeons Section of Endourology
Jan 1, 2016·Journal of Pediatric Surgery·Mehmet Mazhar UtanğaçMurat Atar
Mar 31, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ismail NalbantMuhammed Abdurrahim Imamoğlu
Dec 8, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Ying ShiWen-Cheng Li
Mar 20, 2015·World Journal of Clinical Cases·Gyanendra R SharmaSakshi P Maheshwari
Aug 18, 2020·Research and Reports in Urology·Chinnakhet KetsuwanPremsant Sangkum

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