Routine flexible nephroscopy for percutaneous nephrolithotomy for renal stones with low density : a prospective, randomized study

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dc.authorid0000-0002-4353-9538en_US
dc.contributor.authorGücük, Adnan
dc.contributor.authorKemahlı, Eray
dc.contributor.authorÜyetürk, Uğur
dc.contributor.authorTuygun, Can
dc.contributor.authorYıldız, Mevlüt
dc.contributor.authorMetin, Ahmet
dc.date.accessioned2021-06-23T19:34:28Z
dc.date.available2021-06-23T19:34:28Z
dc.date.issued2013
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: We evaluated the usefulness of routine flexible nephroscopy during percutaneous nephrolithotomy. Materials and Methods: Patients diagnosed with kidney stones who were scheduled to undergo percutaneous nephrolithotomy between March 2011 and July 2012 were randomized into 2 groups. Group 1 underwent standard percutaneous nephrolithotomy using rigid nephroscopy. Group 2 underwent flexible nephroscopy, in addition to standard percutaneous nephrolithotomy and laser lithotripsy or basket catheter stone extraction, as needed. Surgery was performed subcostally and with minimal percutaneous access in group 2 to use the advantages of flexible nephroscopy. We compared the 2 groups in terms of preoperative stone characteristics and postoperative success criteria, including the stone-free rate, bleeding, number of access sites, etc. Results: The study included 61 males (76.3%) and 19 females (23.8%) with a mean +/- SD age of 43.75 +/- 12.4 years (range 19 to 74). There was no significant difference in stone size, HU density or stone location between the 2 groups. Comparison of perioperative and postoperative parameters revealed a higher stone-free rate (92.5% vs 70%), fewer access sites and a lower hematocrit decrease in group 2. The stone-free rate was higher in patients with stones with a density of less than 677.5 HU (100% in group 2 vs 64.7% in group 1). Conclusions: Routine flexible nephroscopy during percutaneous nephrolithotomy was associated with a higher stone-free rate, fewer interventions and less bleeding, especially in patients with low HU density stones.en_US
dc.identifier.doi10.1016/j.juro.2013.01.009
dc.identifier.endpage148en_US
dc.identifier.issn0022-5347
dc.identifier.issue1en_US
dc.identifier.pmid23313202en_US
dc.identifier.scopus2-s2.0-84878877003en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage144en_US
dc.identifier.urihttps://doi.org/10.1016/j.juro.2013.01.009
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7524
dc.identifier.volume190en_US
dc.identifier.wosWOS:000321432900042en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGücük, Adnan
dc.institutionauthorKemahlı, Eray
dc.institutionauthorÜyetürk, Uğur
dc.institutionauthorYıldız, Mevlüt
dc.institutionauthorMetin, Ahmet
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKidneyen_US
dc.subjectKidney Calculien_US
dc.subjectNephrostomy, percutaneousen_US
dc.subjectEndoscopesen_US
dc.subjectOutcome Assessment (health care)en_US
dc.titleRoutine flexible nephroscopy for percutaneous nephrolithotomy for renal stones with low density : a prospective, randomized studyen_US
dc.typeArticleen_US

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