Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy

Objective: To evaluate the effects of previous unsuccessful extracorporeal shockwave lithotripsy (ESWL) treatment on the performance and outcome of percutaneous nephrolithotomy (PCNL). Patients and methods: Of 1625 PCNL procedures performed in our clinic, 393 renal units with similar stone burden an...

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Autores principales:	Hakan Türk, Mehmet Yoldaş, Tufan Süelözgen, Cemal Selcuk İşoğlu, Mustafa Karabıçak, Batuhan Ergani, Sıtkı Ün
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Kidney stones ESWL Percutaneous nephrolithotomy Bleeding Complications Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/9be2559c6554401e9629f16789b7dfc6
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spelling	oai:doaj.org-article:9be2559c6554401e9629f16789b7dfc62021-12-02T10:15:12ZEffects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy2090-598X10.1016/j.aju.2017.01.009https://doaj.org/article/9be2559c6554401e9629f16789b7dfc62017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300372https://doaj.org/toc/2090-598XObjective: To evaluate the effects of previous unsuccessful extracorporeal shockwave lithotripsy (ESWL) treatment on the performance and outcome of percutaneous nephrolithotomy (PCNL). Patients and methods: Of 1625 PCNL procedures performed in our clinic, 393 renal units with similar stone burden and number of accesses was included in the present study. We categorised the study patients into two groups according to whether they underwent ESWL within 1 year prior to PCNL or not. Accordingly, Group 1 comprised 143 (36.3%) ESWL-treated patients and Group 2 comprised 250 (63.7%) non-ESWL-treated patients. Results: Residual stones were detected in 36 (25.1%) of the ESWL-treated patients (Group 1) and in 60 (24%) of non-ESWL-treated patients (Group 2). There were no statistically significant differences between the groups for length of hospital stay (LOS), nephrostomy tube removal time, and the presence of residual stones. When we evaluated the groups for both the preoperative and postoperative haemoglobin (Hb) drop and blood transfusion rate, manifest Hb declines and more transfusions were required in the ESWL-treated patients (both P = 0.01). Conclusions: In our study, previous ESWL treatment had no influence on the PCNL stone-free rate, operation time, incidence of postoperative complications, and LOS, in patients with similar stone burdens. However, bleeding during PCNL was more prevalent in the ESWL-treated patients, so close attention should be paid to bleeding in patients who have been pretreated with ESWL.Hakan TürkMehmet YoldaşTufan SüelözgenCemal Selcuk İşoğluMustafa KarabıçakBatuhan ErganiSıtkı ÜnTaylor & Francis GrouparticleKidney stonesESWLPercutaneous nephrolithotomyBleedingComplicationsDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 2, Pp 94-99 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Kidney stones ESWL Percutaneous nephrolithotomy Bleeding Complications Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Kidney stones ESWL Percutaneous nephrolithotomy Bleeding Complications Diseases of the genitourinary system. Urology RC870-923 Hakan Türk Mehmet Yoldaş Tufan Süelözgen Cemal Selcuk İşoğlu Mustafa Karabıçak Batuhan Ergani Sıtkı Ün Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
description	Objective: To evaluate the effects of previous unsuccessful extracorporeal shockwave lithotripsy (ESWL) treatment on the performance and outcome of percutaneous nephrolithotomy (PCNL). Patients and methods: Of 1625 PCNL procedures performed in our clinic, 393 renal units with similar stone burden and number of accesses was included in the present study. We categorised the study patients into two groups according to whether they underwent ESWL within 1 year prior to PCNL or not. Accordingly, Group 1 comprised 143 (36.3%) ESWL-treated patients and Group 2 comprised 250 (63.7%) non-ESWL-treated patients. Results: Residual stones were detected in 36 (25.1%) of the ESWL-treated patients (Group 1) and in 60 (24%) of non-ESWL-treated patients (Group 2). There were no statistically significant differences between the groups for length of hospital stay (LOS), nephrostomy tube removal time, and the presence of residual stones. When we evaluated the groups for both the preoperative and postoperative haemoglobin (Hb) drop and blood transfusion rate, manifest Hb declines and more transfusions were required in the ESWL-treated patients (both P = 0.01). Conclusions: In our study, previous ESWL treatment had no influence on the PCNL stone-free rate, operation time, incidence of postoperative complications, and LOS, in patients with similar stone burdens. However, bleeding during PCNL was more prevalent in the ESWL-treated patients, so close attention should be paid to bleeding in patients who have been pretreated with ESWL.
format	article
author	Hakan Türk Mehmet Yoldaş Tufan Süelözgen Cemal Selcuk İşoğlu Mustafa Karabıçak Batuhan Ergani Sıtkı Ün
author_facet	Hakan Türk Mehmet Yoldaş Tufan Süelözgen Cemal Selcuk İşoğlu Mustafa Karabıçak Batuhan Ergani Sıtkı Ün
author_sort	Hakan Türk
title	Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
title_short	Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
title_full	Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
title_fullStr	Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
title_full_unstemmed	Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
title_sort	effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/9be2559c6554401e9629f16789b7dfc6
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Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy

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