Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy
Abstract. Objectives. This study aimed to ascertain the relevance of the Guy's stone score in the evaluation and outcome of percutaneous nephrolithotomy (PCNL). Materials and methods. This 2-year hospital-based, prospective clinical study enrolled 100 patients who were indicated for PCNL. All p...
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| Language: | English |
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Wolters Kluwer Health
2024-12-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000165 |
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| author | Rohit Kapoor Deepak Mane Siddharth Jai Singh Vikram Satav Vilas Sabale Pratyush Ranjan |
| author_facet | Rohit Kapoor Deepak Mane Siddharth Jai Singh Vikram Satav Vilas Sabale Pratyush Ranjan |
| author_sort | Rohit Kapoor |
| collection | DOAJ |
| description | Abstract. Objectives. This study aimed to ascertain the relevance of the Guy's stone score in the evaluation and outcome of percutaneous nephrolithotomy (PCNL).
Materials and methods. This 2-year hospital-based, prospective clinical study enrolled 100 patients who were indicated for PCNL. All patients were allocated into groups according to the Guy's stone score and were compared for factors associated with stone-free rate (SFR) and complication risk. The data were statistically analyzed using SPSS version 20.
Results. The median patient age was 40 years (range, 5–70 years). A greater portion of the patients were aged 31–40 years. A majority of the stones were solitary, found in 83% of the kidneys. Overall, 49% were grouped as Guy's stone score 1, 26% as 2, 11% as 3, and 14% as 4. The overall SFR was 97%. Furthermore, SFR was found to be 100% for Guy's stone score 1, 100% for 2, 90.91% for 3, and 85.7% for 4. Intraoperative and postoperative complication rates were found in 6% and 38% of the patients, respectively. Among postoperative complications, pain (26%) was the most frequent, followed by fever (8%), bleeding (3%), and puncture site abscess (1%).
Conclusions. Based on the study findings, Guy's stone score was efficient in predicting PCNL outcomes. |
| format | Article |
| id | doaj-art-3a0639d6dac94b39a54d239b1fe59b40 |
| institution | OA Journals |
| issn | 1661-7649 1661-7657 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health |
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| series | Current Urology |
| spelling | doaj-art-3a0639d6dac94b39a54d239b1fe59b402025-08-20T02:16:10ZengWolters Kluwer HealthCurrent Urology1661-76491661-76572024-12-0118428729010.1097/CU9.0000000000000165202412000-00008Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomyRohit Kapoor0Deepak Mane1Siddharth Jai Singh2Vikram Satav3Vilas Sabale4Pratyush Ranjan5a Department of Urology Andrology, Robotic and Renal transplantation, Medanta Hospital, Lucknow, Indiab Department of Urology, Andrology, Robotic Surgery and Renal Transplantation, Dr DY Patil Medical College and Hospital, Pimpri, Pune, Indiab Department of Urology, Andrology, Robotic Surgery and Renal Transplantation, Dr DY Patil Medical College and Hospital, Pimpri, Pune, Indiab Department of Urology, Andrology, Robotic Surgery and Renal Transplantation, Dr DY Patil Medical College and Hospital, Pimpri, Pune, Indiab Department of Urology, Andrology, Robotic Surgery and Renal Transplantation, Dr DY Patil Medical College and Hospital, Pimpri, Pune, Indiab Department of Urology, Andrology, Robotic Surgery and Renal Transplantation, Dr DY Patil Medical College and Hospital, Pimpri, Pune, IndiaAbstract. Objectives. This study aimed to ascertain the relevance of the Guy's stone score in the evaluation and outcome of percutaneous nephrolithotomy (PCNL). Materials and methods. This 2-year hospital-based, prospective clinical study enrolled 100 patients who were indicated for PCNL. All patients were allocated into groups according to the Guy's stone score and were compared for factors associated with stone-free rate (SFR) and complication risk. The data were statistically analyzed using SPSS version 20. Results. The median patient age was 40 years (range, 5–70 years). A greater portion of the patients were aged 31–40 years. A majority of the stones were solitary, found in 83% of the kidneys. Overall, 49% were grouped as Guy's stone score 1, 26% as 2, 11% as 3, and 14% as 4. The overall SFR was 97%. Furthermore, SFR was found to be 100% for Guy's stone score 1, 100% for 2, 90.91% for 3, and 85.7% for 4. Intraoperative and postoperative complication rates were found in 6% and 38% of the patients, respectively. Among postoperative complications, pain (26%) was the most frequent, followed by fever (8%), bleeding (3%), and puncture site abscess (1%). Conclusions. Based on the study findings, Guy's stone score was efficient in predicting PCNL outcomes.http://journals.lww.com/10.1097/CU9.0000000000000165 |
| spellingShingle | Rohit Kapoor Deepak Mane Siddharth Jai Singh Vikram Satav Vilas Sabale Pratyush Ranjan Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy Current Urology |
| title | Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy |
| title_full | Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy |
| title_fullStr | Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy |
| title_full_unstemmed | Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy |
| title_short | Relevance of Guy's stone score in evaluation and outcome of percutaneous nephrolithotomy |
| title_sort | relevance of guy s stone score in evaluation and outcome of percutaneous nephrolithotomy |
| url | http://journals.lww.com/10.1097/CU9.0000000000000165 |
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