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Does age affect outcomes of percutaneous nephrolithotomy?
Hossein Karami1, Mohammad Mohsen Mazloomfard, Alireza Golshan
1Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Journal
|March 9, 2010
Summary
Percutaneous nephrolithotomy (PCNL) is safe and effective for elderly patients over 65, achieving an 85% stone-free rate. This minimally invasive procedure offers a reliable solution for kidney stones in older adults.
Area of Science:
- Urology
- Nephrology
- Geriatric Medicine
Background:
- Elderly patients present unique challenges for kidney stone treatment.
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
Purpose of the Study:
- To evaluate the safety and efficacy of PCNL in patients over 65 years old.
- To compare PCNL outcomes in elderly versus younger patients.
Main Methods:
- Retrospective review of 50 PCNL procedures in elderly patients (>65 years).
- Comparison with 248 PCNL procedures in younger patients (<40 years) from 2001-2007.
- Analysis of stone-free rates, complications, operative time, and hospital stay.
Main Results:
- No significant difference in calculus burden between elderly and younger groups.
- Stone-free rates were 85% for elderly and 90% for younger patients (P=.45).
- Similar operative times and hospital stays; no significant complications in the elderly group.
Conclusions:
- PCNL is a safe and effective technique for elderly patients with kidney stones.
- An 85% stone-free rate was achieved in patients over 65.
- Well-controlled comorbidities do not significantly increase operative risk in this population.
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