Factors predicting outcomes of micropercutaneous nephrolithotomy: results from a large single-centre experience

BJU International
Arvind P GanpuleMahesh R Desai

Abstract

To present our single-centre experience of the micropercutaneous nephrolithotomy (microperc) technique and define its role in the management of renal calculi as well as to analyse the factors predicting outcome. We retrospectively analysed data from 139 patients who underwent microperc for renal calculi between June 2010 and November 2014 at our institution. The factors analysed were demographic variables, which included age, sex, stone volume, stone density (Hounsfield units [HU]) and stone location, and intra- and peri-operative variables, such as operating time, drop in haemoglobin level, stone clearance and complications. The mean ± sd (range) patient age was 38.99 ± 17 years (9 months to 73 years), stone volume was 1 095 ± 1 035 (105-6 650) mm(3) and stone density was 1 298 ± 263 HU. The mean ± sd (range) operation duration was 50.15 ± 9.8 (35-85) min, hospital stay was 2.36 ± 0.85 (2-5) days and drop in haemoglobin level was 0.63 ± 0.84 (0-3.7) mg/dl. Eight patients had renal colic that was managed by antispasmodic medication, four patients had renal colic severe enough to warrant JJ stenting and three patients had urinary tract infections which were managed with appropriate antibiotics. We were able to complete microperc...Continue Reading

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Citations

Apr 9, 2017·Actas urologicas españolas·M CepedaJ M Martínez-Sagarra
Jan 16, 2020·The Journal of International Medical Research·Ji-Liang WangYun-Fei Sun
Dec 9, 2017·Urolithiasis·Arvind P GanpuleMahesh R Desai
Mar 10, 2017·Arab Journal of Urology·Arvind P GanpuleMahesh R Desai
Mar 11, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Ohseong KwonSung Yong Cho
Mar 26, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Jiqing ZhangJunhui Zhang

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