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1.
Arch Esp Urol ; 72(1): 69-74, 2019 Jan.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30741655

RESUMO

INTRODUCTION: We wanted to investigate the potential effect of additional telerounding system on postoperative outcomes, patient and surgeon satisfaction rates in the patients who underwent percutaneous nephrolithotomy (PNL). METHODS: Eighty patients who underwent PNL were included in the study. The patients were randomly divided to two groups. Group 1 included 40 patients who were followed-up with standard rounds and group 2 included 40 patients who were followed-up with telerounding in addition to standard rounds. Patient and surgeon satisfaction rates were assessed with a visual analog scale (VAS) where 0 point represents very dissatisfied and 100 points very satisfied. RESULTS: Mean time of preoperative telerounding visit was 3.65±0.59 (2-4) minutes. Mean time of telerounding visits on the postoperative 1st and 2nd days was 3.80±0.62 and 2.9±0.91 minutes respectively. The VAS score evaluating the surgeon's satisfaction rate for telerounding was 91±11.2 and patients expressed a high level of satisfaction with 72.5%. CONCLUSION: The use of additional telerounding in urological patient care provides high satisfaction rates for both the patients and the surgeon. However the findings of the present study don't underestimate the importance of personal surgeon-patient interaction.


Assuntos
Cálculos Renais , Nefrolitotomia Percutânea , Satisfação do Paciente , Cirurgiões , Humanos , Cálculos Renais/terapia , Resultado do Tratamento
2.
Arch. esp. urol. (Ed. impr.) ; 72(1): 69-74, ene.-feb. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-181062

RESUMO

Introduction: We wanted to investigate the potential effect of additional telerounding system on postoperative outcomes, patient and surgeon satisfaction rates in the patients who underwent percutaneous nephrolithotomy (PNL). Methods: Eighty patients who underwent PNL were included in the study. The patients were randomly divided to two groups. Group 1 included 40 patients who were followed-up with standard rounds and group 2 included 40 patients who were followed-up with telerounding in addition to standard rounds. Patient and surgeon satisfaction rates were assessed with a visual analog scale (VAS) where 0 point represents very dissatisfied and 100 points very satisfied. Results: Mean time of preoperative telerounding visit was 3.65±0.59 (2-4) minutes. Mean time of telerounding visits on the postoperative 1st and 2nd days was 3.80±0.62 and 2.9±0.91 minutes respectively. The AS score evaluating the surgeon’s satisfaction rate for telerounding was 91±11.2 and patients expressed a high level of satisfaction with 72.5%. Conclusion: The use of additional telerounding in urological patient care provides high satisfaction rates for both the patients and the surgeon. However the findings of the present study don’t underestimate the importance of personal surgeon-patient interaction


Introducción: Queríamos investigar el efecto potencial de un sistema de televisita sobre los resultados postoperatorios y la satisfacción de pacientes y cirujanos en casos de nefrolitotomía percutánea (NLP). Métodos: Se incluyeron en el estudio ochenta pacientes sometidos a NLP. Los pacientes se dividieron aleatoriamente en dos grupos. Grupo 1: incluyó 40 pacientes que hicieron un seguimiento estándar y grupo 2 con 40 pacientes que fueron seguidos con televisitas además del seguimiento estándar. La satisfacción del paciente y el cirujano se evaluó con una escala visual analógica (EVA) donde el 0 representa muy insatisfecho y el 100 muy satisfecho. Resultados: El tiempo medio de la televisita preoperatoria fue de 3,65±0,59 (2-4) minutos. El tiempo medio de televisita en los días 1º y 2º postoperatorio fue de 3,80±0,62 y 2,9±0,91 minutos respectivamente. La puntuación de la EVA que evaluaba la satisfacción del cirujano para la televisita fue de 91±11,2 y los pacientes expresaron un alto nivel de satisfacción con el 72,5%. Conclusiones: El uso de televisitas adicionales en la asistencia urológica ofrece una alta satisfacción tanto para el paciente como para el cirujano. Sin embargo, los hallazgos del presente estudio no infravaloran la importancia de la interacción personal paciente-cirujano


Assuntos
Humanos , Cálculos Renais/terapia , Nefrolitotomia Percutânea , Satisfação do Paciente , Cirurgiões , Telemedicina , Resultado do Tratamento
3.
Int. braz. j. urol ; 44(4): 717-725, July-Aug. 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-954064

RESUMO

ABSTRACT Introduction: To compare the perioperative outcomes and complications of monopolar and bipolar transurethral resection of bladder tumors (TURBT) in patients with coronary artery disease (CAD). Materials and Methods: A total of 90 CAD patients with newly diagnosed bladder cancer who underwent TURBT were randomized into monopolar TURBT (M-TURBT) and bipolar TURBT (B-TURBT) groups. Primary outcome was safety of the procedures including obturator jerk, bladder perforation, clot retention, febrile urinary tract infection and TUR syndrome. The secondary outcome was the efficacy of TURBT procedures, including complete tumor resection, sampling of the deep muscle tissue and sampling of the qualified tissues without any thermal damage. Results: Mean ages of the patients in M-TURBT and B-TURBT groups were 71.36±7.49 and 73.71±8.15 years, respectively (p=0.157). No significant differences were found between M-TURBT and B-TURBT groups regarding complete tumor resection (76.2% vs. 87.5%, p=0.162) and muscle tissue sampling rates (71.4% vs. 64.6%,p=0.252). Obturator jerk was detected in 16.7% of the patients in M-TURBT group and 2.1% in B-TURBT group (p=0.007). No statistically significant differences were found between the groups regarding intraoperative and postoperative complications. Conclusions: Both monopolar and bipolar systems can be used safely and effectively during TURBT procedure in CAD patients. Due to the more frequently seen obturator jerk in M-TURBT than B-TURBT, careful surgical approach is needed during M-TURBT.

4.
Eurasian J Med ; 50(2): 137-138, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30002585

RESUMO

Intrauterine device (IUD) insertion is a long-acting and one of the most effective modes of reversible contraception. Complications that most commonly arise following IUD insertion are failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, and expulsion. In this paper, we present the case of a woman who experienced hydronephrosis due to the migration of IUD into the ureter after 30 years of insertion. To the best of our knowledge, this is the third such case reported in the literature.

5.
Turk J Urol ; 44(5): 393-398, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29799404

RESUMO

OBJECTIVE: The aim of this study is to evaluate sexual functions and quality life of patients who are followed-up for non-muscle invasive bladder cancer (NMIBC). MATERIAL AND METHODS: Between March 2015-June 2016, 50 patients underwent cystoscopy for NMIBC. At the end of the 1st year follow-up patients were assessed for sexual functions using 5-item version of the International Sexual Function Index (IIEF-5) for male and the Female Sexual Function Index(FSFI) for female; for quality of life (QoL) by the European Organisation for Research and Treatment of Cancer-Non-Muscle Invasiv Bladder Cancer Quality of Life Questionnaire (EORTC QLQ-NMIBC24) and for emotional status by Beck depression inventory. RESULTS: There were 44 male and 6 female patients with the mean age of 57.6±11.5 years. Twenty patients received intravesical treatment after transurethral resection of bladder tumour. The mean Beck (10.7±9.5) IIEF-5 (15.6±5.9), FSFI (19.2±10.9), and the EORTC-QLQ NMBIC 24 (38.2±7.7) scores of the patients were determined as indicated. Among the patients, 42 (84%) of them were not feeling bad about their bladder tumors and 37 (74%) were not worrying about their daily lives. Moreover, 12 (24%) patients were not interested with sexuality, while 27 (54%) of them did not feel comfortable about sexual sincerity. Interestingly, 27 patients receiving intravesical treatment were concerned that the treatment they received for prevention of recurrence and progression of bladder tumor infect their partners during sexual intercourse. CONCLUSION: NMIBC affects patients' sexual functions and QoL negatively. Therefore during the follow-up of these patients, it is important to inform these patients accurately about their treatments to be applied and predicted complications in the follow up period.

6.
Int Braz J Urol ; 44(4): 717-725, 2018 Jul-Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29617081

RESUMO

INTRODUCTION: To compare the perioperative outcomes and complications of monopolar and bipolar transurethral resection of bladder tumors (TURBT) in patients with coronary artery disease (CAD). MATERIALS AND METHODS: A total of 90 CAD patients with newly diagnosed bladder cancer who underwent TURBT were randomized into monopolar TURBT (M-TURBT) and bipolar TURBT (B-TURBT) groups. Primary outcome was safety of the procedures including obturator jerk, bladder perforation, clot retention, febrile urinary tract infection and TUR syndrome. The secondary outcome was the efficacy of TURBT procedures, including complete tumor resection, sampling of the deep muscle tissue and sampling of the qualified tissues without any thermal damage. RESULTS: Mean ages of the patients in M-TURBT and B-TURBT groups were 71.36±7.49 and 73.71±8.15 years, respectively (p=0.157). No significant differences were found between M-TURBT and B-TURBT groups regarding complete tumor resection (76.2% vs. 87.5%, p=0.162) and muscle tissue sampling rates (71.4% vs. 64.6%,p=0.252). Obturator jerk was detected in 16.7% of the patients in M-TURBT group and 2.1% in B-TURBT group (p=0.007). No statistically significant differences were found between the groups regarding intraoperative and postoperative complications. CONCLUSIONS: Both monopolar and bipolar systems can be used safely and effectively during TURBT procedure in CAD patients. Due to the more frequently seen obturator jerk in M-TURBT than B-TURBT, careful surgical approach is needed during M-TURBT.


Assuntos
Doença da Artéria Coronariana/complicações , Ureteroscopia/efeitos adversos , Ureteroscopia/métodos , Neoplasias da Bexiga Urinária/cirurgia , Idoso , Idoso de 80 Anos ou mais , Doença da Artéria Coronariana/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Complicações Pós-Operatórias , Prognóstico , Estudos Prospectivos , Fatores de Risco , Resultado do Tratamento , Neoplasias da Bexiga Urinária/patologia
7.
Turk J Urol ; 44(2): 119-124, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29511580

RESUMO

Objective: The aim of this study is to examine the usefulness of preoperative neutrophile-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and lymphocyte-to-monocyte ratios to predict pathological upstaging of invasive bladder cancer who underwent radical cystectomy. Material and methods: A total of 126 patients who underwent radical cystectomy at our clinic between January 2006 and March 2015 were retrospectively analysed. One hundred and twelve patients with organ-confined invasive bladder tumors (T2) detected at histopathological examination of transuretral resection material were included in the study. Upstaging was seen at histopathological examination of radical cystectomy specimens of 42 patients. We compared preoperative neutrophile-to-lymphocyte ratio, platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio between upstaged and not-upstaged groups. Results: There were no statistically significant correlation between age, time to radical cystectomy, gender, lymphocyte-to-monocyte ratio, platelet-to-lymphocyte ratio ratios and carcinoma in situ in upstaged and non-upstaged groups. Statistical analyses showed that preoperative neutrophile-to-lymphocyte ratio was higher in upstaged patients (p=0.009). In multivariate analysis preoperative neutrophile-to-lymphocyte ratio and positive surgical margin were significantly higher in upstaged group. Conclusion: In organ-confined muscle invasive bladder cancer neutrophile-to-lymphocyte ratio seems to be an acceptable parameter to predict locally advanced disease.

8.
Kaohsiung J Med Sci ; 33(10): 516-522, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28962823

RESUMO

The aim of this study was validation and comparison of stone scoring systems (S.T.O.N.E, GUY, CROES, S-ReSC) used to predict postoperative stone-free status and complications after percutaneous nephrolithotomy (PCNL) for staghorn stones. A total of 160 patients who had staghorn renal stones and underwent PCNL between January 2012 and August 2015 were included in the current retrospective study. Guy, S.T.O.N.E., S-ReSC (Seoul National University Renal Stone Complexity) and CROES (Clinical Research Office of the Endourological Society) nephrolithometry scores were calculated for each patient, and their potential association with stone-free status, operative and fluoroscopy time, and length of hospital stay (LOS) were evaluated. Postoperative complications were graded according to the modified Clavien classification, and the correlation of scoring systems with postoperative complications was also investigated. The mean CROES, S.T.O.N.E, Guy and S-ReSC scores were 143.5 ± 33.6, 9.7 ± 1.6, 3.5 ± 0.5 and 6.2 ± 2.0 respectively. The overall stone-free rate was 59%. All scoring systems were significantly correlated with stone-free status in univariate analysis. However, Guy and S-ReSC scores were the only significant independent predictor in multivariate analysis. And all four nomograms failed to predict complication rates. Current study demonstrated that Guy and S-ReSC scoring systems could effectively predict postoperative stone-free status for staghorn stones. However all four scoring systems failed to predict complication rates.


Assuntos
Rim/cirurgia , Nefrolitotomia Percutânea , Cálculos Coraliformes/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Feminino , Hemorragia/diagnóstico , Hemorragia/etiologia , Hemorragia/fisiopatologia , Humanos , Rim/patologia , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/fisiopatologia , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/fisiopatologia , Prognóstico , Curva ROC , Projetos de Pesquisa , Estudos Retrospectivos , Cálculos Coraliformes/diagnóstico , Cálculos Coraliformes/patologia , Resultado do Tratamento
9.
J Laparoendosc Adv Surg Tech A ; 27(12): 1284-1289, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28873326

RESUMO

BACKGROUND: To validate and compare the stone scoring systems (stone size [S], tract length [T], obstruction [O], number of involved calices [N], and essence or stone density [E] [S.T.O.N.E.], Guy's Stone Score [GSS], Clinical Research Office of the Endourological Society [CROES], and Seoul National University Renal Stone Complexity [S-ReSC]) used to predict postoperative stone-free status and complications after percutaneous nephrolithotomy (PCNL). METHODS: A total of 567 patients who underwent PCNL for renal stones between January 2012 and August 2015 were included in the recent retrospective study. Sixty-one patients who had not done preoperative CT were excluded from the study. GSS, S.T.O.N.E., S-ReSC, and CROES nephrolithometry scores were calculated for each patient, and their potential association with stone-free status, operative and fluoroscopy time, and length of stay (LOS) was evaluated. Postoperative complications were graded according to the modified Clavien classification, and the correlation of scoring systems with postoperative complications was also investigated. RESULTS: The mean CROES, S.T.O.N.E., GSS, and S-ReSC scores were 203.7 ± 59.8, 7.52 ± 1.8, 2.08 ± 0.9, and 3.35 ± 2.2, respectively. The overall stone-free rate was 77.9%. All scoring systems were significantly correlated with stone-free status and operation time. While GSS, S.T.O.N.E., and CROES systems were significantly correlated with complication rates (CR), S-ReSC score failed to predict CR. All scoring systems except S.T.O.N.E. were significantly correlated with LOS. CROES and S-ReSC scores were predictive of estimated blood loss (EBL), while GSS and S.T.O.N.E. failed to predict EBL. CONCLUSIONS: Recent study demonstrated that S.T.O.N.E., GSS, CROES, and S-ReSC scoring systems could effectively predict postoperative stone-free status. Although S-ReSC scoring system failed to predict CR, the rest three scoring systems were significantly correlated with postoperative CR.


Assuntos
Cálculos Renais/cirurgia , Nefrolitotomia Percutânea/métodos , Complicações Pós-Operatórias/diagnóstico , Adulto , Idoso , Feminino , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Nefrolitotomia Percutânea/efeitos adversos , Duração da Cirurgia , Complicações Pós-Operatórias/epidemiologia , Prognóstico , Curva ROC , Estudos Retrospectivos , Resultado do Tratamento
10.
Int Urol Nephrol ; 49(6): 947-953, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28303443

RESUMO

PURPOSE: To investigate the predictive value of preoperative serum neutrophil-to-lymphocyte ratio (NLR) on the development of postoperative infections in patients undergoing penile prosthesis implantation (PPI). METHODS: We retrospectively analyzed the data of 361 patients who underwent PPI over a 4-year period with at least 1-year follow-up. Demographics, blood results, and postoperative 1-year complications were recorded. Recommended cutoff values of NLR for early postoperative infectious complications were determined using receiver operating characteristic analysis. RESULTS: A total of 153 patients with the mean age of 56.4 ± 8 years were included in the study. Mean follow-up time was 56.7 ± 30.4 months (12-108 months). Early postoperative infectious complications were occured in 18 patients (11.8%). These infections were prosthesis infection in 8 patients (5.2%), wound infection in 6 patients (3.9%), and urinary tract infection in 4 patients (2.6%). All these complications were occured within the first year of the surgery. Mean NLR was statistically higher in patients with postoperative complications when compared with uncomplicated cases (7.2 ± 3.9 vs. 2.2 ± 1.4, p < 0.001, respectively) Using a cut point of 6.2, preoperative NLR predicted postoperative complications with a sensitivity of 67% and specificity of 99%. CONCLUSIONS: This study is the first to investigate the relationship between NLR and early postoperative infection as a complication of PPI. The results demonstrated that the NLR value could be a potential laboratory parameter for predicting early postoperative infectious complications in patients undergoing PPI.


Assuntos
Linfócitos , Neutrófilos , Prótese de Pênis/efeitos adversos , Implantação de Prótese/efeitos adversos , Infecções Relacionadas à Prótese/sangue , Infecção da Ferida Cirúrgica/sangue , Infecções Urinárias/sangue , Adulto , Idoso , Biomarcadores/sangue , Seguimentos , Humanos , Contagem de Linfócitos , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Período Pré-Operatório , Infecções Relacionadas à Prótese/etiologia , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/etiologia , Infecções Urinárias/etiologia
12.
Turk J Urol ; 43(1): 25-29, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28270947

RESUMO

OBJECTIVE: We updated our data on penile fractures and investigated the significance of the time interval from the incident of the fracture until the operation on the erectile functions and long-term complications. MATERIAL AND METHODS: Between January 2001 and June 2014, 64 patients were operated on with a preoperative diagnosis of penile fracture. We could evaluate 54 of these patients. The patients were classified into 3 groups according to the time interval from the time of fracture until surgery. The validated Turkish version of the erectile components of International Index of Erectile Function (IIEF) was answered by every patient 3 times after the surgery; before the incident of fracture, at first postoperative year, and at the time of the study (IIEF-5 and question #15 were used). The complications were noted and an erectile function index score was calculated for every patient. RESULTS: Mean follow up period was 44.9 (±2.8) months for all patients There was no statistically significant difference between the 3 groups in terms of the erectile components of IIEF questionnaire scores for the time periods and for individual patients in each separate group. Complications for all groups were also similar. CONCLUSION: In consideration of long-term results, neither serious deformities nor erectile dysfunction occur as a consequence of a delay in surgery performed within the first 24 hours in patients without urethral involvement.

13.
Turk J Urol ; 43(1): 55-61, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28270952

RESUMO

OBJECTIVE: We investigated the prognostic value of preoperative neutrophil-to-lymphocyte ratio (NLR) on germ cell testicular tumors (GCT). MATERIAL AND METHODS: The data of 53 patients who underwent inguinal orchiectomy were analyzed retrospectively. NLR was calculated from the preoperative complete blood cell counts. Receiver operating characteristic (ROC) analysis was performed to find the threshold values for NLR. Correlations between cancer-specific survival (CSS) and progression-free survival (PFS) and NLR were evaluated. RESULTS: The mean follow-up time was 23.55±18.06 months. The mean level of NLR was 3.08±1.81. Optimal threshold values of NLR was calculated as 3.55 for PFS (area under curve, AUC: 0.55) and 3.0 for CSS (AUC: 0.66). For patients with a NLR of <3.55 and NLR of ≥3.55, mean times-to-progression were 55.71 months (95% CI, 51.27-60.14) and 51.95 months (95% CI, 38.02-65.87, p=0.152), respectively. As well as, for patients with a NLR of <3.0 and NLR of ≥3.0, mean times-to-cancer specific death were 54.72 months (95% CI, 49.05-60.38) and 49.43 months (95% CI, 37.64-61.22, p=0.119), respectively. CONCLUSION: Preoperative NLR is not a useful tool to predict the prognosis of patients with GCT.

16.
Urolithiasis ; 45(2): 215-219, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27170278

RESUMO

We aimed to evaluate the use of twinkling artifact (TA) on color Doppler ultrasonography (USG) as an alternative imaging modality to non-contrast-enhanced computed tomography (CT) in patients with ureteral stones in this prospective study. Totally, 106 consecutive patients who had been diagnosed with ureterolithiasis by CT were enrolled in this prospective study. A urinary system color Doppler ultrasonography was performed on the same day with CT by an experienced radiologist who was blinded to the CT scan. TA was graded as 0, 1 and 2. The overall specificity of TA was calculated according to the NCCT as a gold standard method. The size, side and localization of stone and the demographic characteristics of patients were compared with twinkling positivity. TA on color Doppler USG was detected in 92 (86.8 %) patients. Statistically significant difference was found between the TA and localization of ureteral stones (p = 0.044). When we sub-grouped the patients according to the TA grades as 0, 1 and 2, 14 patients were with TA grade 0, 55 with TA grade 1 and 37 with TA grade 2. The mean stone size of groups was significantly different (p = 0.012). Bigger and proximal ureteral stones tended to have more TA on color Doppler USG. TA on color Doppler USG could be a good and safe alternative imaging modality with comparable results between NCCT. It could be useful for the diagnosis and follow-up of patients with ureterolithiasis.


Assuntos
Artefatos , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia Doppler em Cores/métodos , Cálculos Ureterais/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sensibilidade e Especificidade , Adulto Jovem
18.
Urolithiasis ; 45(5): 489-494, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27864591

RESUMO

The aim of this study was to compare the accuracy of the CROES nephrolithometric nomogram and S.T.O.N.E. scoring system in predicting PCNL outcomes in terms of stone-free rate, estimated blood loss (EBL), operative time (OR), length of hospital stay (LOS), and complications. Patients who underwent PCNL for renal stones between May 2012 and January 2015 were analyzed retrospectively. The patients' demographic characteristics and operational features were recorded prospectively in all patients postoperatively. S.T.O.N.E. and CROES nephrolithometry scores' correlation with stone-free status, operation and fluoroscopy time, length of hospital stay (LOS) and blood loss (BL) was evaluated. Patients were categorized according to S.T.O.N.E. nephrolithometry and CROES nephrolithometry scores. Postoperative complications were graded according to modified Clavien classification (Dindo et al. in Ann Surg 240:205-213, 2004) and the correlation of both scoring systems with postoperative complications was also evaluated. We identified 437 patients who underwent PCNL between May 2012 and January 2015. A total of 262 patients who are available data for the CROES and S.T.O.N.E. scoring systems were included in the recent study. The mean S.T.O.N.E score was 7.65 ± 1.56 and the mean CROES score was 191.13 ± 64.39. The overall stone-free rate was 71.4%. Of the 262 patients, 89 experienced postoperative complications. Stone-free patients had significantly lower BMI (<0.001) and stone burden (p < 0.001). Regression analysis showed that both scoring systems were significantly associated with stone-free rates and operation time. We demonstrated that S.T.O.N.E. and CROES scoring systems were useful for predicting post-PCNL stone-free status. But both scoring systems were not useful for predicting post-PCNL complications.


Assuntos
Cálculos Renais/cirurgia , Nefrolitotomia Percutânea/efeitos adversos , Nomogramas , Complicações Pós-Operatórias/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Perda Sanguínea Cirúrgica/estatística & dados numéricos , Feminino , Fluoroscopia/estatística & dados numéricos , Humanos , Cálculos Renais/diagnóstico por imagem , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Nefrolitotomia Percutânea/métodos , Duração da Cirurgia , Complicações Pós-Operatórias/etiologia , Curva ROC , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
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