Do the urolithiasis scoring systems predict the success of percutaneous nephrolithotomy in cases with anatomical abnormalities?

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dc.contributor.authorKocaaslan, Ramazan
dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorBuldu, Ibrahim
dc.contributor.authorTosun, Muhammed
dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorKarakan, Tolga
dc.contributor.authorOzyuvali, Ekrem
dc.date.accessioned2024-04-24T15:59:55Z
dc.date.available2024-04-24T15:59:55Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe objective of this study is to assess the utility of the Guy, S.T.O.N.E., and CROES nephrolithometry scoring systems (SS), and compare the capability of each system to predict percutaneous nephrolithotomy (PNL) outcome in patients with anatomical abnormalities. We retrospectively collected medical records of patients with anatomical abnormalities who underwent PNL for the treatment of renal calculi by experienced surgical teams in four referral centers. All of the patients were graded by a single observer from each department based on preoperative computed tomography images using each SS. Patient demographics and outcomes were compared according to the complexity of the procedure as graded by each scoring system. A total of 137 cases with anatomical abnormalities [horseshoe kidney (n = 46), malrotation (n = 33), kypho and/or scoliosis (n = 31) and ectopic kidney (n = 27)] were assessed retrospectively. The mean stone burden, number, and density were 708.5 mm(2), 1.7, and 791.8 HU, respectively. The mean procedure, fluoroscopy, and hospitalization times were 75.2 +/- 35.3 min, 133.4 +/- 92.3 s, and 3.5 +/- 2.1 days, respectively. Stone-free status was achieved in 106 cases (77.4 %). A total of 17 (13.6 %) complications occurred postoperatively. The mean scores were 2.7, 7.2, and 219.1, for the Guy, S.T.O.N.E., and CROES systems, respectively. CROES score was the independent predictor of PNL success in cases with anatomical abnormalities [p: 0.001, OR 1.01, (95 % CI 1005-1021)]. The CROES scoring system is well correlated with the success of PNL in cases with anatomical abnormalities; the S.T.O.N.E. and Guy scoring systems failed to predict the outcomes of PNL in this specific patient population.en_US
dc.identifier.doi10.1007/s00240-016-0903-8
dc.identifier.endpage310en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue3en_US
dc.identifier.pmid27406306
dc.identifier.scopus2-s2.0-84978036891
dc.identifier.scopusqualityQ2
dc.identifier.startpage305en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-016-0903-8
dc.identifier.urihttps://hdl.handle.net/11468/14306
dc.identifier.volume45en_US
dc.identifier.wosWOS:000401444800011
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKidney Stoneen_US
dc.subjectAnatomical Abnormalityen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectSuccessen_US
dc.subjectNomogramen_US
dc.titleDo the urolithiasis scoring systems predict the success of percutaneous nephrolithotomy in cases with anatomical abnormalities?en_US
dc.titleDo the urolithiasis scoring systems predict the success of percutaneous nephrolithotomy in cases with anatomical abnormalities?
dc.typeArticleen_US

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