The effect of percutaneous nephrostomy implementation on the outcome of ureteroscopic stone treatment

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dc.contributor.authorKizilay F.
dc.contributor.authorSimsir A.
dc.contributor.authorAltay B.
dc.contributor.authorNazli O.
dc.contributor.authorCüreklibatir I.
dc.contributor.authorSemerci B.
dc.date.accessioned2019-10-26T21:12:22Z
dc.date.available2019-10-26T21:12:22Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: We aimed to investigate the effect of percutaneous nephrostomy (PCN) implementation on the second ureteroscopy (URS) outcomes after a failed URS. Materials and Methods: The data of four hundred forty-eight patients with an unsuccessful URS history were evaluated. Patients were divided into two groups; patients who underwent PCN before second URS (Group A) and patients who did not (Group B). We compared the stone access rate in the second URS between the two groups according to patient and stone characteristics and operative data. Then, group A was subdivided into two groups according to stone access as; access succeeded (Group A1) and access failed (Group A2). We also compared stone access rates between these two groups in terms of gender, age, body mass index, stone size, side, location, grade of hydronephrosis and PCN duration. All data were available immediately after surgery and obtained from patient files and the outcome assessment was performed during the study period. Results: Stone access rate was higher in group A than group B (143/196 vs 41/252, P = .0018). Mean nephrostomy duration and mean hydronephrosis grade were significantly higher and mean stone size was significantly lower in group A1 than group A2 (18.74 vs 9.62 days, P < .001; grade 3.25 vs 1.21, P = .038; and 7.286 vs 12.631 mm P < .001, respectively). Conclusion: PCN is a favourable intervention after a failed URS and increases the success rate of the second operation with ease of implementation and minimal morbidity. © 2019, Urology and Nephrology Research Centre.en_US
dc.identifier.endpage121en_US
dc.identifier.issn1735-1308
dc.identifier.issn1735-1308en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage115en_US
dc.identifier.urihttps://hdl.handle.net/11454/15682
dc.identifier.volume16en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherUrology and Nephrology Research Centreen_US
dc.relation.ispartofUrology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPercutaneous nephrostomyen_US
dc.subjectUreterolithiasisen_US
dc.subjectUreteroscopyen_US
dc.subjectUrinary diversionen_US
dc.titleThe effect of percutaneous nephrostomy implementation on the outcome of ureteroscopic stone treatmenten_US
dc.typeArticleen_US

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