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Original Research

Evaluation of Different Percutaneous Nephrolithotomy Procedures Applied in Pediatric Patients Under 18 Years Old


1 Dicle University, Faculty of Medicine Hospital, Department of Urology, Diyarbakir, Turkey


DOI : 10.33719/yud.616921
New J Urol. 2020; 15-(3): 149-157,

Abstract

Objective: Stone disease is one of the most common diseases in urology practice. In recent years, with developing technology, surgical tech-niques for urinary stone disease have changed. With the development of minimally invasive methods and devices, this change has accelerated in recent years. In this study we search retrospec-tively the urological stone operations that we per-formed between 2003-2010.

Material and Methods: Thousand and four stone cases operation in our clinic between 2003-2010 were retrospectively reviewed. In this re-view we determined patients’ age, demographic characteristics, operation type and rate of chan-ges by years.

Results: The mean age was 48.2 ± 11.6. Of these patients 485 (48.3%) were female and 519 (51.7%) male. 173 operations were performed for bladder stones; of these operations 86 (49.7%) were cystolithotomy and 85 (50.3%) were en-doscopic cystolithotripsy. Of the 484 surgery performed for ureteral stones, 114 (23.6%) were ureterolithotomy and 370 (76.4%) were uretero-renoscopy. In 2003, only 45,2 % of bladder stone operation was performed endoscopic; but in 2010 this rate was increased to 57,2 %. Endoscopic sur-gery for ureteral stones, the rate was 54,1 % in 2003; but in 2010 this rate was increased to 87,7 %. When we look at the surgical techniques over the years, in 2003 open stone surgery was mainly performed when PNL was not done; but in 2010 minimal invasive techniques like PNL (60,7 %) was more often preferred.

Conclusions: With the development of minimally inva-sive methods, tools and practice that performed one of the most common disease in urology practice; a marked chan-ge for stone surgery observed. Open surgery rates declining in past years, because of less invasive methods has often done in practice.

Key Words: cystolithotripsy,  percutaneous nephrolithotomy, ureterorenoscopy, urinary system stones


Abstract

Objective: Stone disease is one of the most common diseases in urology practice. In recent years, with developing technology, surgical tech-niques for urinary stone disease have changed. With the development of minimally invasive methods and devices, this change has accelerated in recent years. In this study we search retrospec-tively the urological stone operations that we per-formed between 2003-2010.

Material and Methods: Thousand and four stone cases operation in our clinic between 2003-2010 were retrospectively reviewed. In this re-view we determined patients’ age, demographic characteristics, operation type and rate of chan-ges by years.

Results: The mean age was 48.2 ± 11.6. Of these patients 485 (48.3%) were female and 519 (51.7%) male. 173 operations were performed for bladder stones; of these operations 86 (49.7%) were cystolithotomy and 85 (50.3%) were en-doscopic cystolithotripsy. Of the 484 surgery performed for ureteral stones, 114 (23.6%) were ureterolithotomy and 370 (76.4%) were uretero-renoscopy. In 2003, only 45,2 % of bladder stone operation was performed endoscopic; but in 2010 this rate was increased to 57,2 %. Endoscopic sur-gery for ureteral stones, the rate was 54,1 % in 2003; but in 2010 this rate was increased to 87,7 %. When we look at the surgical techniques over the years, in 2003 open stone surgery was mainly performed when PNL was not done; but in 2010 minimal invasive techniques like PNL (60,7 %) was more often preferred.

Conclusions: With the development of minimally inva-sive methods, tools and practice that performed one of the most common disease in urology practice; a marked chan-ge for stone surgery observed. Open surgery rates declining in past years, because of less invasive methods has often done in practice.

Key Words: cystolithotripsy,  percutaneous nephrolithotomy, ureterorenoscopy, urinary system stones