Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients
The elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 y...
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MDPI AG
2020-06-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/2/150 |
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| author | Dogan Atılgan Engin Kölükçü Fatih Fırat Vildan Kölükçü |
| author_facet | Dogan Atılgan Engin Kölükçü Fatih Fırat Vildan Kölükçü |
| author_sort | Dogan Atılgan |
| collection | DOAJ |
| description | The elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 years, diagnosed with urethral stones and treated with HLL under local anesthesia. We noted the demographic data and visual pain scores (VAS) of the patients and the duration of the operation and hospital stay. Our analysis involved both the success rates of the surgical procedure and the complication rates according to the modified Clavien classification. In addition. we determined the patients’ preoperative clinical status using the Charlson comorbidity index (CCI). The mean age of the patients was 71.65 ± 8.19 years. Acute urinary retention was the most common complaint (45.2%). Their mean scores were 7.68 ± 2.53 according to CCI. The average operation time was 15.48 ± 5.22 min and the VAS was 2.03 ± 1.08. All patients were stone-free and there was a marked improvement in their symptoms None of them stayed in the hospital for more than one day. We did not observe any Grade 3 or higher complications. In light of the data obtained in our study, we concluded that HLL is an effective and reliable method to treat urethral stones under local anesthesia in elderly male patients. |
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| id | doaj.art-85081913e13d478ea0436af00abcea60 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T19:26:52Z |
| publishDate | 2020-06-01 |
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| spelling | doaj.art-85081913e13d478ea0436af00abcea602023-11-20T02:30:59ZengMDPI AGHealthcare2227-90322020-06-018215010.3390/healthcare8020150Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male PatientsDogan Atılgan0Engin Kölükçü1Fatih Fırat2Vildan Kölükçü3Department of Urology, Faculty of Medicine, Gaziosmanpasa University, Tokat 60100, TurkeyDepartment of Urology, Faculty of Medicine, Gaziosmanpasa University, Tokat 60100, TurkeyDepartment of Urology, Tokat State Hospital, Tokat 60100, TurkeyDepartment of Anesthesia and Reanimation, Zile State Hospital, Tokat 60400, TurkeyThe elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 years, diagnosed with urethral stones and treated with HLL under local anesthesia. We noted the demographic data and visual pain scores (VAS) of the patients and the duration of the operation and hospital stay. Our analysis involved both the success rates of the surgical procedure and the complication rates according to the modified Clavien classification. In addition. we determined the patients’ preoperative clinical status using the Charlson comorbidity index (CCI). The mean age of the patients was 71.65 ± 8.19 years. Acute urinary retention was the most common complaint (45.2%). Their mean scores were 7.68 ± 2.53 according to CCI. The average operation time was 15.48 ± 5.22 min and the VAS was 2.03 ± 1.08. All patients were stone-free and there was a marked improvement in their symptoms None of them stayed in the hospital for more than one day. We did not observe any Grade 3 or higher complications. In light of the data obtained in our study, we concluded that HLL is an effective and reliable method to treat urethral stones under local anesthesia in elderly male patients.https://www.mdpi.com/2227-9032/8/2/150elderly maleurethral stoneholmium laserlithotripsylocal anesthesia |
| spellingShingle | Dogan Atılgan Engin Kölükçü Fatih Fırat Vildan Kölükçü Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients Healthcare elderly male urethral stone holmium laser lithotripsy local anesthesia |
| title | Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients |
| title_full | Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients |
| title_fullStr | Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients |
| title_full_unstemmed | Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients |
| title_short | Efficacy and Safety of Holmium Laser Lithotripsy Under Local Anesthesia in the Treatment of Urethral Stones in Elderly Male Patients |
| title_sort | efficacy and safety of holmium laser lithotripsy under local anesthesia in the treatment of urethral stones in elderly male patients |
| topic | elderly male urethral stone holmium laser lithotripsy local anesthesia |
| url | https://www.mdpi.com/2227-9032/8/2/150 |
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