Abstract:
BACKGROUND AND PURPOSE:Patients with spinal neuropathy are at an increased risk for urolithiasis. Data on percutaneous nephrolithotomy (PCNL) in this population are limited. Our objective is to review our experience in managing stones with PCNL in patients with spinal neuropathy. PATIENTS AND METHODS:Twenty-one patients with spinal neuropathy underwent PCNL at our institution between January 2005 and August 2011. Their medical records were reviewed retrospectively to collect data relating to stone characteristics, treatment outcomes, and complications. RESULTS:Forty-two PCNL were performed on 26 kidneys. Five patients had bilateral stones. They were 14 (66.7%) patients with spinal cord injury, 5 (23.8%) with spina bifida, and 2 (9.5%) with other neurologic abnormalities. There were 90.5% of patients with preoperative bacteriuria and 47.6% with severe scoliosis, making positioning for PCNL challenging. Complete staghorn stones occurred in 46.2% of kidneys, and 50% of stones were struvite. Only 53.8% of kidneys were stone free after the first PCNL. The success rate increased to 80.8% after the second and 88.5% after the third PCNL. Urosepsis developed in three (14.3%) patients, necessitating admission to the intensive care unit postoperatively. Six (28.6%) patients needed blood transfusion. One patient had a pneumothorax and another had a perforation of the collecting system. CONCLUSIONS:Based on our experience, PCNL in patients with spinal neuropathy had a stone clearance rate comparable with that of the general population. These patients, however, needed multiple PCNLs to be stone free and had a higher incidence of complications (especially infectious).
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Nabbout P,Slobodov G,Mellis AM,Culkin DJdoi
10.1089/end.2012.0344subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1610-3issue
12eissn
0892-7790issn
1557-900Xjournal_volume
26pub_type
杂志文章abstract:PURPOSE:To assess the clinical efficacy and safety of photoselective laser vaporization of the prostate (PVP) in the treatment of patients with acute urinary retention (AUR) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Forty-two patients (mean age 72 +/- 5 years, range 65-89) with AUR because ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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更新日期:2020-12-02 00:00:00
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更新日期:2010-12-01 00:00:00
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更新日期:2009-02-01 00:00:00
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更新日期:2010-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1089/089277901753284170
更新日期:2001-11-01 00:00:00
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journal_title:Journal of endourology
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pub_type: 临床试验,杂志文章
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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