E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Şahinkaya.

Cited by (1)

Abstract
In this study, we aimed to investigate the impact of percutaneous nephrolithotomy on kidney functions in stage III or higher chronic renal failure patients using glomerular filtration rate and serum creatinine level.
Methods: Between 2010 and 2014, percutaneous nephrolithotomy was applied to patients who had glomerular filtration rate below 60 mL/min/1.73m². Preoperative demographic features, stone burden, and localization, urine analysis and microbial test, serum creatinine level, open urinary system graphy, and spiral non-enhanced computerized tomography were obtained. Intraoperative renal unit counts, anesthesia and surgery time, and X-ray exposure time were calculated. Early and late postoperative complications, hospitalization time, stone-free rate, and glomerular function rate were evaluated, retrospectively.
Results: Preoperatively, mean creatinine value was 2.42 ± 0.76 mg/dL, mean glomerular filtration rate was 45.3 ± 3 mL/min/1.73 m², the mean stone burden was 393 ± 40 mm², mean intervention time was 79 ± 34 min, and 12 patients were stone free (70.5%). The decrease of hemoglobin 1.6 g/dL and transfusion was done only two patients (11.8%) due to excessive bleeding. In early and long-term follow-up, mean creatinine values and glomerular filtration rate were 1.98 ± 0.72 mg/dL, 2.16 ± 0.78 mL/dL and 54.1 ± 14 mL/min/1.73 m², 51.8 ± 15 mL/min/1.73 m², respectively. Comparison of preoperative and postoperative creatinine and glomerular filtration rates revealed a significant decrease in creatinine level and increase in glomerular filtration rate.
Conclusion: Percutaneous nephrolithotomy that eliminates urinary obstruction is safely used in the treatment of kidney stones with minimal damage on kidney functions. Stage III or higher renal failure patients who have obstructive kidney stones or recurrent urinary tract infections can effectively be treated, and this may help patients to prevent progression to end-stage renal failure.

Key words: Percutaneous nephrolithotomy, renal failure, renal stone


 
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This Article Cited By the following articles

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Urology 2017; (): .

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How to Cite this Article
Pubmed Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. Int J Surg Med. 2016; 2(1): 30-33. doi:10.5455/ijsm.urology02


Web Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. http://www.ejos.org/?mno=204736 [Access: February 20, 2019]. doi:10.5455/ijsm.urology02


AMA (American Medical Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. Int J Surg Med. 2016; 2(1): 30-33. doi:10.5455/ijsm.urology02



Vancouver/ICMJE Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. Int J Surg Med. (2016), [cited February 20, 2019]; 2(1): 30-33. doi:10.5455/ijsm.urology02



Harvard Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya (2016) TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. Int J Surg Med, 2 (1), 30-33. doi:10.5455/ijsm.urology02



Turabian Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. 2016. TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. International Journal of Surgery and Medicine, 2 (1), 30-33. doi:10.5455/ijsm.urology02



Chicago Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. "TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS." International Journal of Surgery and Medicine 2 (2016), 30-33. doi:10.5455/ijsm.urology02



MLA (The Modern Language Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. "TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS." International Journal of Surgery and Medicine 2.1 (2016), 30-33. Print. doi:10.5455/ijsm.urology02



APA (American Psychological Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya (2016) TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS. International Journal of Surgery and Medicine, 2 (1), 30-33. doi:10.5455/ijsm.urology02