Renal stone composition does not affect the outcome of percutaneous nephrolithotomy in children

Basit Öğe Kaydı
dc.contributor.authorKaygisiz, Onur
dc.contributor.authorTuregun, Fethi Ahmet
dc.contributor.authorSatar, Nihat
dc.contributor.authorOzen, Ender
dc.contributor.authorToksoz, Serdar
dc.contributor.authorDogan, Hasan Serkan
dc.contributor.authorPiskin, Mehmet Mesut
dc.date.accessioned2024-02-23T13:43:44Z
dc.date.available2024-02-23T13:43:44Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractPurpose We sought to investigate the association between renal stone composition and percutaneous nephrolithotomy outcomes in pediatric patients and define the characterization of the stone composition. Methods The data of 1157 children who underwent percutaneous nephrolithotomy between 1991 and 2012 were retrieved from the multicenter database of the Turkish Pediatric Urology Society. The study population comprised 359 children (160 girls, 199 boys) with stone analyses. Patients were divided into five groups according to the stone composition [group 1: calcium oxalate; group 2: calcium phosphate; group 3: infection stones (magnesium ammonium phosphate, ammonium urate); group 4: cystine; group 5: uric acid, xanthine stones]. Results Patient characteristics, perioperative, postoperative, and stone characteristics were compared considering the stone composition. There were no significant differences between the groups concerning age, sex, side involved, preoperative hematocrit levels, and solitary renal unit. Patients with cystine stones were more likely to have a history of stone treatment. Groups 2 and 5 had mostly solitary stones. However, group 3 had staghorn stone more often, and group 4 frequently had multiple stones. Overall stone-free rate (79.4%) was similar among the groups. Although stone composition was related to blood transfusion and prolonged operative and fluoroscopy screening times on univariate analysis, it was not a significant predictor of them on multivariate analysis. Conclusions Stone composition was not a predictor of outcomes of pediatric percutaneous nephrolithotomy. However, cystine and infection stones, which are larger and filled multiple calyxes due to the nature of stone forming, were more challenging cases that need multiple tracts.en_US
dc.description.sponsorshipScientific Research Projects Coordination Unit of Istanbul University [1030-24135]en_US
dc.description.sponsorshipFor this work, Bulent Onal was supported by Scientific Research Projects Coordination Unit of Istanbul University, Project number 1030-24135.en_US
dc.identifier.doi10.1007/s00345-018-2325-4
dc.identifier.endpage1869en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue11en_US
dc.identifier.pmid29761226en_US
dc.identifier.scopus2-s2.0-85053806473en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1863en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-018-2325-4
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10898
dc.identifier.volume36en_US
dc.identifier.wosWOS:000448864400022en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChilden_US
dc.subjectComplicationsen_US
dc.subjectEfficacyen_US
dc.subjectTreatmenten_US
dc.subjectKidney Calculien_US
dc.subjectNephrostomyen_US
dc.subjectPercutaneousen_US
dc.subjectPediatricsen_US
dc.titleRenal stone composition does not affect the outcome of percutaneous nephrolithotomy in childrenen_US
dc.typeArticleen_US

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