Document Detail


Effect of Simple Malrotation on Percutaneous Nephrolithotomy: A Matched Pair Multicenter Analysis.
MedLine Citation:
PMID:  21420125     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: In this multicenter study we compared the outcome of percutaneous nephrolithotomy in patients with and without malrotated kidneys. MATERIALS AND METHODS: A total of 44 patients (group 1) at 6 institutions who underwent percutaneous nephrolithotomy for kidneys with simple malrotation were enrolled in our study. Attending physicians in our group also provided the same number of cases of percutaneous nephrolithotomy done for nonmalrotated (normal) kidneys (group 2). Group 2 patients were selected by match pairing. Operative and postoperative data on the 2 groups were compared using the chi-square, Student t and Fisher exact tests. RESULTS: As a result of match pairing, the 2 groups were similar in age, gender, body mass index, and stone size and site. Mean ± SD stone size was 5.9 ± 3.5 cm(2) in group 1. Multiple access attempts were required in 9 (20.5%) and 7 cases (15.9%) in groups 1 and 2, respectively (p >0.05). Mean fluoroscopy time was 7.0 ± 3.9 minutes in the malrotated kidney group and 7.3 ± 4.5 minutes in the nonmalrotated kidney group (p >0.05). The mean hemoglobin decrease after percutaneous nephrolithotomy was significantly higher in group 1 (-1.9 vs -1.3 gm/dl, p = 0.008) but the blood transfusion rate was similar in the 2 groups. The procedure success rate in groups 1 and 2 was 77.3% and 79.5%, respectively (p >0.05). CONCLUSIONS: Percutaneous nephrolithotomy is safe and effective even in patients with larger kidney stones and malrotated kidneys.
Authors:
Murat Binbay; Okan Istanbulluoglu; Mustafa Sofikerim; Ali Beytur; Andreas Skolarikos; Tolga Akman; Emre Huri; Bulent Ozturk; Ali Riza Kural; Ahmet Yaser Muslumanoglu
Related Documents :
15096015 - Efficacy of bilateral pallidotomy.
21409755 - A preliminary study of the effects of glucosamine sulphate and chondroitin sulphate on ...
21425495 - Observation of persistent fundus fluorescence after internal limiting membrane peeling ...
21431625 - Antiemetic prophylaxis in thyroid surgery: a randomized, double-blind comparison of thr...
22767675 - Lost without occam's razor: escherichia coli tricuspid valve endocarditis in a non-intr...
12677625 - Hypothermia and excessive sweating following intrathecal morphine in a parturient under...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-17
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Update on AUA guideline on the management of benign prostatic hyperplasia.
Next Document:  Alteration of Elastin Metabolism in Women With Pelvic Organ Prolapse.