The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients
Objective:The elderly population has been increasing due to extension in lifespan. Chronic comorbid disorders and medications render a recheck of the treatment modalities of urinary stones for this population. This study aimed to analyse the results of mini-percutaneous nephrolithotomy (PNL) and fle...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2021-03-01
|
| Series: | Journal of Urological Surgery |
| Subjects: | |
| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-flexible-ureterorenoscopy-and-mi/46834
|
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849305337134317568 |
|---|---|
| author | Giray Ergin Burak Köprü Mustafa Kıraç |
| author_facet | Giray Ergin Burak Köprü Mustafa Kıraç |
| author_sort | Giray Ergin |
| collection | DOAJ |
| description | Objective:The elderly population has been increasing due to extension in lifespan. Chronic comorbid disorders and medications render a recheck of the treatment modalities of urinary stones for this population. This study aimed to analyse the results of mini-percutaneous nephrolithotomy (PNL) and flexible ureterorenoscopy (F-URS), which are minimally invasive techniques for the treatment of kidney stones in elderly patients.Materials and Methods:Data of patients who are older than 65 years with 10-25-mm kidney stones and who underwent F-URS (n=51) and mini-PNL (n=33) between 2015 and 2019 were retrospectively studied. Demographic data, operative data and postoperative data were evaluated.Results:The mean age of group 1 (F-URS) was 71.5±6.4 and of group 2 (mini-PNL) 70.2±5.6 and the mean stone size was 16.1±3.8 mm for group 1 and 19.7±3.5 mm for group 2. The complete stone-free rate was similar in groups 1 and 2 at 1 month postoperatively (78.4% and 72.7%, respectively; p=0.549). Haemoglobin decrease and operation and hospitalisation time were found to be higher in group 2 (p=0.000, 0.0001, 0.002). Complication rates (transfusion-required haemorrhage, fever and colon perforation) were not statistically different between the two groups (p=0.8).Conclusion:In this study, although the stone-free rate in the F-URS and mini-PNL groups was similar, we believe that F-URS is a safer treatment method in elderly patients with 10-25-mm kidney stones than mini-PNL because of its shorter operation time and lower haemoglobin decrease. |
| format | Article |
| id | doaj-art-0957ed0fefcc4e93842f4015cd48cc25 |
| institution | Kabale University |
| issn | 2148-9580 2148-9580 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj-art-0957ed0fefcc4e93842f4015cd48cc252025-08-20T03:55:29ZengGalenos Publishing HouseJournal of Urological Surgery2148-95802148-95802021-03-0181232810.4274/jus.galenos.2020.366913049054The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly PatientsGiray Ergin0Burak Köprü1Mustafa Kıraç2 Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Koru Ankara Hospital, Clinic of Urology, Ankara, Turkiye Objective:The elderly population has been increasing due to extension in lifespan. Chronic comorbid disorders and medications render a recheck of the treatment modalities of urinary stones for this population. This study aimed to analyse the results of mini-percutaneous nephrolithotomy (PNL) and flexible ureterorenoscopy (F-URS), which are minimally invasive techniques for the treatment of kidney stones in elderly patients.Materials and Methods:Data of patients who are older than 65 years with 10-25-mm kidney stones and who underwent F-URS (n=51) and mini-PNL (n=33) between 2015 and 2019 were retrospectively studied. Demographic data, operative data and postoperative data were evaluated.Results:The mean age of group 1 (F-URS) was 71.5±6.4 and of group 2 (mini-PNL) 70.2±5.6 and the mean stone size was 16.1±3.8 mm for group 1 and 19.7±3.5 mm for group 2. The complete stone-free rate was similar in groups 1 and 2 at 1 month postoperatively (78.4% and 72.7%, respectively; p=0.549). Haemoglobin decrease and operation and hospitalisation time were found to be higher in group 2 (p=0.000, 0.0001, 0.002). Complication rates (transfusion-required haemorrhage, fever and colon perforation) were not statistically different between the two groups (p=0.8).Conclusion:In this study, although the stone-free rate in the F-URS and mini-PNL groups was similar, we believe that F-URS is a safer treatment method in elderly patients with 10-25-mm kidney stones than mini-PNL because of its shorter operation time and lower haemoglobin decrease. http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-flexible-ureterorenoscopy-and-mi/46834 flexible ureterorenoscopymini-pnlurolithiasis |
| spellingShingle | Giray Ergin Burak Köprü Mustafa Kıraç The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients Journal of Urological Surgery flexible ureterorenoscopy mini-pnl urolithiasis |
| title | The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients |
| title_full | The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients |
| title_fullStr | The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients |
| title_full_unstemmed | The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients |
| title_short | The Comparison of Flexible Ureterorenoscopy and mini-Percutaneous Nephrolithotomy in the Treatment of 10-25 mm Kidney Stones in Elderly Patients |
| title_sort | comparison of flexible ureterorenoscopy and mini percutaneous nephrolithotomy in the treatment of 10 25 mm kidney stones in elderly patients |
| topic | flexible ureterorenoscopy mini-pnl urolithiasis |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/the-comparison-of-flexible-ureterorenoscopy-and-mi/46834
|
| work_keys_str_mv | AT girayergin thecomparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients AT burakkopru thecomparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients AT mustafakırac thecomparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients AT girayergin comparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients AT burakkopru comparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients AT mustafakırac comparisonofflexibleureterorenoscopyandminipercutaneousnephrolithotomyinthetreatmentof1025mmkidneystonesinelderlypatients |