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Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study

Curēus (Palo Alto, CA), 2022-02, Vol.14 (2), p.e22690-e22690 [Peer Reviewed Journal]

Copyright © 2022, Rizwan Umer et al. ;Copyright © 2022, Rizwan Umer et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright © 2022, Rizwan Umer et al. 2022 Rizwan Umer et al. ;ISSN: 2168-8184 ;EISSN: 2168-8184 ;DOI: 10.7759/cureus.22690 ;PMID: 35340492

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  • Title:
    Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study
  • Author: Rizwan Umer, Muhammad ; Basta, Marina ; Kakieu Djossi, Sandrine ; Tafti, Amin ; Khan, Musharaf ; Sarfraz, Maria Binte ; Sharif Khan, Sabeen ; John, Jobby ; Shamim, Khizer
  • Subjects: Adults ; Blood ; Blood transfusions ; Classification ; Kidney stones ; Length of stay ; Lithotripsy ; Pediatric Surgery ; Pediatrics ; Standard deviation ; Urogenital system ; Urological surgery ; Urology ; Variables
  • Is Part Of: Curēus (Palo Alto, CA), 2022-02, Vol.14 (2), p.e22690-e22690
  • Description: Percutaneous nephrolithotomy (PCNL) has almost completely replaced open surgery for kidney stones because of continuous advancements in the method since the first PCNL was performed in 1976. The aim of this study is to compare the characteristics and outcomes of adult patients and pediatric patients who had undergone PCNL. A retrospective study was conducted at the Sindh Institute of Urology and Transplantation (SIUT) Hospital in Karachi, Pakistan. It included the data of patients who underwent PCNL from January 2015 to January 2022 at the SIUT hospital. The primary outcome variable was the stone-free rate (SFR). Secondary outcomes included length of hospital stay, and complications were assessed using modified Clavien classification system Results: There is no significant difference in the SFR at discharge between pediatric and adult patients (86.67% vs 88.69%, p=0.634). There is no significant difference between the two groups in relation to the total length of hospital stay (p=0.446). Moreover, 12.50% and 11.11% of adults and children developed complications, respectively, after the procedure. The percentages are not significantly different between the two groups (p=0.266). The current study using standardized and consistent PCNL techniques shows that SFR is similar in both adults and children, and there is no difference in complications between adults and children.
  • Publisher: United States: Cureus Inc
  • Language: English
  • Identifier: ISSN: 2168-8184
    EISSN: 2168-8184
    DOI: 10.7759/cureus.22690
    PMID: 35340492
  • Source: PubMed Central
    ProQuest Central
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