Document Detail


Percutaneous nephrolithotomy: critical analysis of unfavorable results.
MedLine Citation:
PMID:  21333049     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To identify the risk factors of unfavorable results of percutaneous nephrolithotomy (PCNL).
PATIENTS AND METHODS: A total of 602 patients were subjected to 616 PCNL procedures. Patients were divided into two groups according to the results of treatment. Group 1 with favorable results includes patients who became stone free after a single PCNL procedure without major complications. Group 2 with unfavorable results includes three subgroups: a) Patients who developed major complications, b) Those who required second major intervention to complete stone removal, and c) Patients with residual stones > 4 mm at 3 month. Risk factors for unfavorable outcome were studied by univariate and multivariate analyses.
RESULTS: Unfavorable results were documented in 176 patients (28.6%) due to major complications in 40 (6.5%), need for second intervention in 124 (20%), and presence of residual stones > 4 mm at 3 month in 12 (1.9%). The remaining 440 patients (71.4%) were considered of favorable outcome. Independent risk factors of unfavorable results on multivariate analysis were staghorn stones, multiple stones and stone largest diameter > 50 mm.
CONCLUSION: To optimize the results of PCNL, urologists should consider careful patient selection. Patients with staghorn stones, multiple stones or large stone burden are more susceptible to unfavorable outcome.
Authors:
Abdulkader Alobaidy; Abdulla Al-Naimi; Khalid Assadiq; Haidar Alkhafaji; Abdulla Al-Ansari; Ahmed A Shokeir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of urology     Volume:  18     ISSN:  1195-9479     ISO Abbreviation:  Can J Urol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9515842     Medline TA:  Can J Urol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  5542-7     Citation Subset:  IM    
Affiliation:
Department of Urology, Hamad General Hospital, Doha, Qatar.
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