Percutaneous nephrolithotomy in solitary kidneys: effective, safe and improves renal functions

Minerva urologica e nefrologica = The Italian journal of urology and nephrology
Volkan CaglayanMurat Demirbas

Abstract

To evaluate success and complication rates of endourological stone treatments and to evaluate effects of percutaneous nephrolithotomy (PCNL) on renal functions, in patients with solitary kidneys. In our center, 3150 patients underwent PCNL between 2003 and 2017 and 142 patients underwent retrograd intrarenal surgery (RIRS) between 2013 and 2017. We retrospectively analysed the data of 82 patients with solitary kidney who underwent PCNL and of 8 patients with solitary kidney who underwent RIRS. Complications were classified according to Clavien-Dindo Classification system. Serum creatinin was measured before the procedure, on the early postoperative period and at sixth month follow-up in PCNL group. The estimated glomerular filtration rate (eGFR) was calculated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. The 5-stage classification of chronic kidney disease (CKD) was used according to the National Kidney Foundation guideline. In the PCNL group, the initial stone-free and success rates were 82.9% and 95.1%, respectively. Complications occured in 18 (22%) patients. Transfusion was the most common complication (15.5%). One patient required JJ stenting. The stone-free rates of the patients who required ...Continue Reading

References

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Nov 29, 2014·Urolithiasis·Mohammad Mehdi HosseiniMohammad Zaki-Abbasi

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Citations

Dec 14, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Enrico CheccucciUNKNOWN Uro-technology and SoMe Working Group of the Young Academic Urologists Working Party of the European Association of Urology
Feb 23, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Biagio BaroneDomenico Prezioso
Jan 11, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·João Pimentel TorresEstevão Lima

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