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The comparison of perioperative outcomes between percutaneous nephrolithotomy and retrograde intrarenal surgery in

Serkan Yarimoglu¹, Murat Sahan¹, Salih Polat²

¹Department of Urology, HSU Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.

International Journal of Clinical Practice

|April 19, 2021

Abstract

Objectives:

In this study, we aimed to compare the outcomes and complication rates of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in elderly patients.

Materials And Methods:

Between April 2011 and January 2020, patients who underwent PCNL and RIRS for renal stone in elderly patients were retrospectively evaluated. The two groups' perioperative values, stone-free rates and complication rates were compared. Post-operative complications were noted according to the Clavien scoring system.

Results:

There were 89 and 72 patients in the PCNL and RIRS group respectively. The median age was 67 years in both the groups (P = .192). The stone size were 22.2 ± 3.5 mm and 19.9 ± 7.1 mm in the PCNL and RIRS group, respectively (P = .082). Stone-free rates were significantly higher in PCNL group (P = .021, P = .034). Also we found that overall complication and major complication rates were significantly higher in PCNL group (P = .016, P = .029).

Conclusion:

Despite there was higher stone clearance in PCNL, the complication rates were higher compared with RIRS. So RIRS might be a safe alternative treatment method to PCNL in older patients.

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