Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study
Objective: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was...
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Galenos Publishing House
2023-06-01
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| Series: | Medeniyet Medical Journal |
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| author | Tiopan NAPITUPULU Yosua HARDJA Martin SUSANTO Grace Dumamawarni HUTAHAEAN Ika RIANTRI Hendra SUTAPA Yusuf RACHMAN Andre Marolop Pangihutan SIAHAAN |
| author_facet | Tiopan NAPITUPULU Yosua HARDJA Martin SUSANTO Grace Dumamawarni HUTAHAEAN Ika RIANTRI Hendra SUTAPA Yusuf RACHMAN Andre Marolop Pangihutan SIAHAAN |
| author_sort | Tiopan NAPITUPULU |
| collection | DOAJ |
| description | Objective: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was to analyze the correlation of hydronephrosis with surgical outcomes after ultrasound-guided supine PCNL.
Methods: A retrospective study was conducted at Doris Sylvanus General Hospital. Data of the patients was obtained from hospital records. Hundred and five patients underwent ultrasound-guided PCNL in the supine position from August 2020 to August 2022. Data were analyzed using SPSS 16.0.
Results: The presence of hydronephrosis was 85 (80.95%), which consisted of Grade I 15 (14.30%), Grade II 25 (23.80%), Grade III 28 (26.70%), and Grade IV 17 (16.20%). In our study analysis, complications occurred in 16 patients (15.23%). Grade I complications of the Clavien-Dindo classification was of in 4 cases, 11 cases of grade 2 complications, and 1 patient died. The statistical result was the relationship between grade hydronephrosis and the grade of complication using the modified Clavien-Dindo system. We found a p-value of 0.207 (>0.05), and there is no statistically significant relationship p=0.382 and r=-0.086 was a negative correlation. There is also no statistically significant relationship between hydronephrosis and stone clearance with p=0.310.
Conclusions: The use of ultrasonographic guidance PCNL has been reported as a safe and effective procedure for the management of large renal stones. In this study, there was no correlation or signification between hydronephrosis and surgical outcome after ultrasound-guided supine PCNL. |
| format | Article |
| id | doaj-art-455a7bb1b4e44c9e9cc4bdb8052c8427 |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Galenos Publishing House |
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| series | Medeniyet Medical Journal |
| spelling | doaj-art-455a7bb1b4e44c9e9cc4bdb8052c84272025-01-30T07:04:39ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062023-06-0138212012710.4274/MMJ.galenos.2023.85688MEDJ-85688Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational StudyTiopan NAPITUPULU0Yosua HARDJA1Martin SUSANTO2Grace Dumamawarni HUTAHAEAN3Ika RIANTRI4Hendra SUTAPA5Yusuf RACHMAN6Andre Marolop Pangihutan SIAHAAN7Universitas Sumatera Utara, Faculty of Medicine, Medan, IndonesiaUniversity of Padjadjaran, Department of Urology, Bandung, IndonesiaUniversitas Sumatera Utara, Faculty of Medicine, Medan, IndonesiaUniversitas Sumatera Utara, Faculty of Medicine, Medan, IndonesiaMedistra Health Institute, Lubuk Pakam, IndonesiaUniversity of Lambung Mangkurat, Department of Urology, Banjarmasin, IndonesiaUniversity of Lambung Mangkurat, Department of Urology, Banjarmasin, IndonesiaUniversitas Sumatera Utara, Faculty of Medicine, Department of Neurosurgery, Medan, IndonesiaObjective: The preferred therapy for staghorn stones and large kidney stones is percutaneous nephrolithotomy (PCNL). Ultrasound-guided PCNL has definite advantages over fluoroscopy-guided PCNL. Preoperative characteristics are essential to assess better surgical outcomes. The goal of this study was to analyze the correlation of hydronephrosis with surgical outcomes after ultrasound-guided supine PCNL. Methods: A retrospective study was conducted at Doris Sylvanus General Hospital. Data of the patients was obtained from hospital records. Hundred and five patients underwent ultrasound-guided PCNL in the supine position from August 2020 to August 2022. Data were analyzed using SPSS 16.0. Results: The presence of hydronephrosis was 85 (80.95%), which consisted of Grade I 15 (14.30%), Grade II 25 (23.80%), Grade III 28 (26.70%), and Grade IV 17 (16.20%). In our study analysis, complications occurred in 16 patients (15.23%). Grade I complications of the Clavien-Dindo classification was of in 4 cases, 11 cases of grade 2 complications, and 1 patient died. The statistical result was the relationship between grade hydronephrosis and the grade of complication using the modified Clavien-Dindo system. We found a p-value of 0.207 (>0.05), and there is no statistically significant relationship p=0.382 and r=-0.086 was a negative correlation. There is also no statistically significant relationship between hydronephrosis and stone clearance with p=0.310. Conclusions: The use of ultrasonographic guidance PCNL has been reported as a safe and effective procedure for the management of large renal stones. In this study, there was no correlation or signification between hydronephrosis and surgical outcome after ultrasound-guided supine PCNL.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-85688hydronephrosisoutcomepercutaneous nephrolithotomyultrasonographynephrolithiasis |
| spellingShingle | Tiopan NAPITUPULU Yosua HARDJA Martin SUSANTO Grace Dumamawarni HUTAHAEAN Ika RIANTRI Hendra SUTAPA Yusuf RACHMAN Andre Marolop Pangihutan SIAHAAN Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study Medeniyet Medical Journal hydronephrosis outcome percutaneous nephrolithotomy ultrasonography nephrolithiasis |
| title | Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study |
| title_full | Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study |
| title_fullStr | Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study |
| title_full_unstemmed | Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study |
| title_short | Correlation Between the Grade of Hydronephrosis with Surgical Outcomes After Ultrasound-guided Supine Percutaneous Nephrolithotomy: A Retrospective Observational Study |
| title_sort | correlation between the grade of hydronephrosis with surgical outcomes after ultrasound guided supine percutaneous nephrolithotomy a retrospective observational study |
| topic | hydronephrosis outcome percutaneous nephrolithotomy ultrasonography nephrolithiasis |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-85688 |
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