PMID: 11927303Apr 3, 2002Paper

Effect of percutaneous nephrolithotomy on differential renal function as measured by mercaptoacetyl triglycine nuclear renography

Urology
James R ChathamBradley F Schwartz

Abstract

To determine the impact on differential renal function of percutaneous nephrolithotomy for complex renal calculi. From July 1999 to December 2000, 45 patients underwent percutaneous nephrolithotomy. Of these, 19 agreed to participate in the study. All patients completed a quantitative assessment of differential renal function preoperatively and postoperatively with technetium 99m mercaptoacetyl triglycine nuclear renography and serum creatinine measurements. The mean patient age was 49 years (range 11 to 75) for the 13 female and 6 male patients. The mean stone burden was 1432 mm(2) (range 156 to 5220). The mean surgical time was 2.57 hours (range 1.17 to 5.08). The median hospital stay was 2.0 days (range 1 to 19). Of the 19 patients, 13 (68%) were stone free after one procedure. Four patients underwent ureteroscopy with stone extraction for residual fragments. One patient underwent secondary extracorporeal shock wave lithotripsy. One patient underwent nephrectomy for poor renal function. Renal function, for the entire group, increased from 36.8% preoperatively to 38.5% postoperatively. Renal function was preserved in 16 (84%) of 19 patients, including improvement of function in 7 (37%) of 19 patients. Serum creatinine was unc...Continue Reading

Citations

Apr 21, 2007·Urological Research·Mustafa Ozgür TanIbrahim Bozkirli
Jun 11, 2009·Urological Research·Yi ShaoShu-Jie Xia
Mar 28, 2013·Urolithiasis·Haluk SöylemezNamık Kemal Hatipoglu
Oct 28, 2008·International Urology and Nephrology·Adem TokAhmet Yaser Muslumanoglu
Jan 9, 2007·Journal of Endourology·Rajash K HandaLynn R Willis
Nov 17, 2009·Journal of Endourology·Rajash K HandaShelly E Handa
Dec 30, 2014·Advanced Biomedical Research·Mehrdad Mohammadi SichaniMohammad Hossein Izadpanahi
Dec 21, 2010·BJU International·Ahmed R El-NahasMahmoud R El-Kenawy
Jun 6, 2009·BJU International·Rajash K HandaJames E Lingeman
Nov 29, 2014·Urolithiasis·Mohammad Mehdi HosseiniMohammad Zaki-Abbasi
Jul 22, 2014·Korean journal of urology·Jae Hyun JungSeung Bae Lee
May 25, 2010·Korean journal of urology·Tae-Kon Hwang
Mar 16, 2013·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Hossein KaramiBabak Javanmard
Apr 23, 2020·Current Urology Reports·Thomas ReevesBhaskar K Somani
Apr 15, 2003·Current Opinion in Urology·Gerhard J Fuchs, J Paul Yurkanin
Nov 18, 2017·Urolithiasis·Daniel A Wollin, Glenn M Preminger
Apr 15, 2003·Current Opinion in Urology·Samuel C KimJames E Lingeman

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