PCNL in the Management of Lower Pole Caliceal Calculi

<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> Several therapeutic methods are used i...

Full description

Bibliographic Details
Main Authors: Seyed Amir Mohsen Ziaee, Abdollah Nasehi, Abbas Basiri, Nasser Simforoosh, AbdolKarim Danesh, Farzaneh Sharifi Aghdas, Ali Tabibi
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2004-06-01
Series:Urology Journal
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/313
_version_ 1818751387322810368
author Seyed Amir Mohsen Ziaee
Abdollah Nasehi
Abbas Basiri
Nasser Simforoosh
AbdolKarim Danesh
Farzaneh Sharifi Aghdas
Ali Tabibi
author_facet Seyed Amir Mohsen Ziaee
Abdollah Nasehi
Abbas Basiri
Nasser Simforoosh
AbdolKarim Danesh
Farzaneh Sharifi Aghdas
Ali Tabibi
author_sort Seyed Amir Mohsen Ziaee
collection DOAJ
description <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> Several therapeutic methods are used in the management of lower pole caliceal calculi. This survey has been conducted to evaluate the safety and efficacy of percutaneous nephrolithotomy in the management of lower pole calculi.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods:</strong> Fifty-five patients, 43 males and 12 females with a mean age of 41.5 (range 11 to 75) years, who had suffered from lower pole caliceal calculi and treated by standard percutaneous nephrolithotomy (PCNL) between 1997 and 2001, were enrolled in this study. The stones were classified as follows: small (less than 25 mm), intermediate (25 to 34 mm) and large (more than 35 mm). Mean follow-up was 6.2 months (range 2 weeks to 34 months).</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Results:</strong> The stones were completely extracted by one session PCNL in 43 patients (79%). Repeat PCNL was needed in one patient and another method was used for stone extraction in another patient. Regarding the size of stone, 88%, 79%, and 74% of small, intermediate, and large stones were completely extracted, respectively. No major complication was noted.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Conclusion:</strong> PCNL has high success rate in patients with stones larger than 2 cm and its morbidity would be low, provided that it is performed by skilled surgeons.</span></span></p>
first_indexed 2024-12-18T04:34:45Z
format Article
id doaj.art-f40add6d829843c9b1f31484227276dc
institution Directory Open Access Journal
issn 1735-1308
1735-546X
language English
last_indexed 2024-12-18T04:34:45Z
publishDate 2004-06-01
publisher Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
record_format Article
series Urology Journal
spelling doaj.art-f40add6d829843c9b1f31484227276dc2022-12-21T21:20:53ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2004-06-0113174176PCNL in the Management of Lower Pole Caliceal CalculiSeyed Amir Mohsen ZiaeeAbdollah NasehiAbbas BasiriNasser SimforooshAbdolKarim DaneshFarzaneh Sharifi AghdasAli Tabibi<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> Several therapeutic methods are used in the management of lower pole caliceal calculi. This survey has been conducted to evaluate the safety and efficacy of percutaneous nephrolithotomy in the management of lower pole calculi.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods:</strong> Fifty-five patients, 43 males and 12 females with a mean age of 41.5 (range 11 to 75) years, who had suffered from lower pole caliceal calculi and treated by standard percutaneous nephrolithotomy (PCNL) between 1997 and 2001, were enrolled in this study. The stones were classified as follows: small (less than 25 mm), intermediate (25 to 34 mm) and large (more than 35 mm). Mean follow-up was 6.2 months (range 2 weeks to 34 months).</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Results:</strong> The stones were completely extracted by one session PCNL in 43 patients (79%). Repeat PCNL was needed in one patient and another method was used for stone extraction in another patient. Regarding the size of stone, 88%, 79%, and 74% of small, intermediate, and large stones were completely extracted, respectively. No major complication was noted.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Conclusion:</strong> PCNL has high success rate in patients with stones larger than 2 cm and its morbidity would be low, provided that it is performed by skilled surgeons.</span></span></p>http://www.urologyjournal.org/index.php/uj/article/view/313
spellingShingle Seyed Amir Mohsen Ziaee
Abdollah Nasehi
Abbas Basiri
Nasser Simforoosh
AbdolKarim Danesh
Farzaneh Sharifi Aghdas
Ali Tabibi
PCNL in the Management of Lower Pole Caliceal Calculi
Urology Journal
title PCNL in the Management of Lower Pole Caliceal Calculi
title_full PCNL in the Management of Lower Pole Caliceal Calculi
title_fullStr PCNL in the Management of Lower Pole Caliceal Calculi
title_full_unstemmed PCNL in the Management of Lower Pole Caliceal Calculi
title_short PCNL in the Management of Lower Pole Caliceal Calculi
title_sort pcnl in the management of lower pole caliceal calculi
url http://www.urologyjournal.org/index.php/uj/article/view/313
work_keys_str_mv AT seyedamirmohsenziaee pcnlinthemanagementoflowerpolecalicealcalculi
AT abdollahnasehi pcnlinthemanagementoflowerpolecalicealcalculi
AT abbasbasiri pcnlinthemanagementoflowerpolecalicealcalculi
AT nassersimforoosh pcnlinthemanagementoflowerpolecalicealcalculi
AT abdolkarimdanesh pcnlinthemanagementoflowerpolecalicealcalculi
AT farzanehsharifiaghdas pcnlinthemanagementoflowerpolecalicealcalculi
AT alitabibi pcnlinthemanagementoflowerpolecalicealcalculi