Abstract：
PURPOSE:To evaluate the safety and efficacy of discharging patients on the first postoperative day after an uncomplicated percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS:after an uncomplicated successful PCNL without significant residual stone (>5mm) or any complication up to the first postoperative day, we randomly assigned patients into two groups-Group 1: overnight surgery, and Group 2: routine discharge after three days. Patients with significant residual stone on control fluoroscopy were excluded. Ninety eight and 102 patients were assigned to groups 1 and 2, respectively. Serum Hemoglobin and Cr were evaluated before the operation as well as the first postoperative day. Stone free status was evaluated using ultrasound and KUB radiography at the first postoperative day. RESULTS:The stone and patient characteristics were not different in two groups. The preoperative and change in the hemoglobin and creatinine levels were not significantly different between the two groups. Nine patients (9.2%) in Group 1 and five (4.9%) in Group 2 were readmitted because of complications (mainly hematuria) (p=.23). Of the readmitted patients, five in Group 1 (55%), and three in Group 2 (60%) received blood transfusion (p=.87). in these patients, group 1 received 1.6±0.51 units of blood compared with 1.93±0.25 in group 2 (p=.07). All the readmitted patients did well with conservative therapy with no need for angioembolization. CONCLUSION:In uncomplicated PCNL with no significant residual stone, discharging the patient on the first postoperative day is safe. The outcome is comparable to a routine three-day hospital stay.
journal_name
Urol Jjournal_title
Urology journalauthors
Basiri A,Arab D,Pakmanesh H,Abedinzadeh M,Karami Hdoi
10.22037/uj.v0i0.5314subject
Has Abstractpub_date
2020-06-23 00:00:00pages
352-357issue
4eissn
1735-1308issn
1735-546Xpii
5314journal_volume
17pub_type
杂志文章相关文献
Urology Journal文献大全abstract：PURPOSE:To share our multicenter experience using a safe and effective method for treating large proximal ure-teral calculus by simultaneous supine percutaneous nephrolithotomy (sPCNL) and retrograde ureterolithotripsy (URSL) in the Galdakao-modified supine Valdivia position. MATERIALS AND METHODS:Between December 201...
journal_title：Urology journal
pub_type： 杂志文章,多中心研究
doi：10.22037/uj.v0i0.4328
更新日期：2019-10-21 00:00:00
abstract：PURPOSE:In this retrospective study, we aimed to comparatively evaluate the efficacy and safety of RIRS procedure on an age-based manner in patients younger and above 65 years. MATERIALS AND METHODS:A total of 165 patients undergoing RIRS procedure for renal stones were divided into two groups on an age-based manner n...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4921
更新日期：2020-03-16 00:00:00
abstract：PURPOSE:To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. MATERIALS AND METHODS:Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval la...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：INTRODUCTION:We evaluated the ratio of free to total prostate-specific antigen (PSA) and PSA to protein concentrations in saliva and serum of healthy men. MATERIALS AND METHODS:Concentrations of protein, free PSA, and total PSA in serum and saliva were measured in 30 healthy men aged 42 to 73 years, and their ratios w...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：PURPOSE:A randomized clinical trial was designed to compare the efficacy, success rate and surgical complications of percutaneous nephrolithotomy (PCNL) and laparoscopic pyelolithotomy (LP). MATERIALS AND METHODS:Sixty patients with renal pelvic stones larger than 2 cm were randomly divided into two groups of LP and P...
journal_title：Urology journal
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2014-11-30 00:00:00
abstract：PURPOSE:To compare the efficacy of sublingual piroxicam 40 mg with intramuscular diclofenac 75 mg in treatment of acute renal colic. The secondary objective was to look for factors that can affect the severity of the pain and pain relief in acute renal colic. MATERIALS AND METHODS:One hundred patients with acute renal...
journal_title：Urology journal
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2015-04-29 00:00:00
abstract：PURPOSE:The study was designed to assess and predict patient-reported goal achievement after treatment of benign prostatic hyperplasia (BPH) patients with tamsulosin. MATERIALS AND METHODS:From November 2013 to October 2015, 272 patients initially diagnosed with BPH were prospectively enrolled in nine different center...
journal_title：Urology journal
pub_type： 杂志文章,多中心研究
doi：10.22037/uj.v0i0.3784
更新日期：2019-08-18 00:00:00
abstract：PURPOSE:We aimed to identify the prevalence and risk factors of three outcomes after stone removal following treatment for obstructive acute pyelonephritis (APN) associated with urinary tract calculi: immediate postoperative febrile urinary tract infection (UTI), stone recurrence, and APN recurrence during the follow-u...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4847
更新日期：2020-03-16 00:00:00
abstract：PURPOSE:To compare the influence of three operative approaches [transurethral en bloc resection of bladder tumor by pin-shaped electrode (pin-ERBT), transurethral resection of bladder tumor (TURBT) and transurethral holmium laser resection of bladder tumor (HoLRBT)] on the recurrence rate of non-muscle-invasive bladder...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v16i7.5965
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:Nocturia is the main cause of disturbance of sleep maintenance and negatively impacts quality of life (QoL). We assessed the effects of the α1-adrenoceptor antagonist, tamsulosin, on nocturia and quality of sleep, for the treatment of lower urinary tract symptoms (LUTS) in women with a maximal flow rate (Qmax) ...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2014-07-08 00:00:00
abstract：PURPOSE:To evaluate the results of transplantation from living unrelated donors (LURD) versus living related donors (LRD) with a long term follow-up of 25-30 years. MATERIALS AND METHODS:From 1984 to 2015, a total of3716 kidney transplantations (411 LRDs and 3305 LURDs) were enrolled to the study. Long-term survival o...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2016-03-05 00:00:00
abstract：INTRODUCTION:The present study aimed to assess the efficacy and safety of percutaneous nephrolithotomy (PCNL) in elderly patients. MATERIALS AND METHODS:We retrospectively reviewed 50 PCNLs performed in the elderly patients (age > 65 years) carried out in our clinic from 2001 through 2007 and compared those with 248 P...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Nowadays there is not any specific technique for repairing the recurrent urethral stricture with retained urethral stent. We report a 49 year-old man with history of end to end urethroplasty 11 years ago who was referred with urethral stricture. He refused to undergo urethroplasty again, so the stricture was managed b...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4914
更新日期：2020-06-23 00:00:00
abstract：PURPOSE:To determine the prevalence of fluoroquinolone-resistant (FQR) bacteria carriage in patients undergoing transrectal ultrasound prostate biopsy (TRUS-Bx), and the relationship between the risk factors and FQR carriers as well as infections after prostate biopsy. MATERIALS AND METHODS:Rectal swabs were obtained ...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2017-05-23 00:00:00
abstract：PURPOSE:To investigate the therapeutic effects of the aqueous extract of Cerasus Avium stem on kidney calculi. MATERIALS AND METHODS:In this experimental study, forty-eight (48) male Wistar rats were randomly allocated into six (6) groups and were studied during a 30 day period. Group A served as normal control and Gr...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2017-07-02 00:00:00
abstract：PURPOSE:To evaluate ciprofloxacin resistance (CR) and extended-spectrum beta-lactamase (ESBL) positivity in the rectal flora, antibiotic prophylaxis received, and post-biopsy infectious complications in patients undergoing prostate biopsy. MATERIAL & METHODS:Rectal swab samples collected from 99 patients suspected of ...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4755
更新日期：2020-03-16 00:00:00
abstract：INTRODUCTION:Retractile testis may affect testicular parenchyma and spermatogenesis, and surgical treatment has been recommended for infertile men with retractile testes. We evaluated outcomes of orchidopexy in men with idiopathic infertility who suffered from bilateral retractile testes. MATERIALS AND METHODS:We perf...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：PURPOSE:To compare the outcome of corporeal plication using absorbable versus nonabsorbable sutures for the treatment of congenital penile curvature. MATERIALS AND METHODS:Thirty-eight men older than 15 years old with congenital penile curvature were enrolled in the study. Patients were randomly divided into two equal...
journal_title：Urology journal
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2011-10-01 00:00:00
abstract：:The failure of prostate-directed treatment modalities to help all men or all symptoms has questioned the longstanding assumption that the prostate is at the root of all male urinary symptoms, and a correlation between urinary bladder function and prostate pathology has been recognized. Now, it is widely recognized tha...
journal_title：Urology journal
pub_type： 杂志文章,评审
doi：
更新日期：2009-10-01 00:00:00
abstract：PURPOSE:Prevalence of ureter and kidney duplication is roughly 1 per 125 people, and is associated with vesicoureteral reflux to lower pole in about 45% of cases. From antireflux surgical principles viewpoint, standard antireflux surgeries can be performed in these kidneys without releasing ureters from each other. We ...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
abstract：PURPOSE:Pelvic organ prolapse is a common condition as a consequence of the pelvic floor support weakness. This study evaluated the clinical results of treating the high stage prolapse of the anterior vaginal wall using a trans-obturator approach and the native vaginal wall tissue. METHODS:This was a prospective anal...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.5619
更新日期：2020-06-18 00:00:00
abstract：PURPOSE:To compare the outcome of percutaneous nephrolithotomy (PCNL) using split or intact Amplatz sheath. MATERIALS AND METHODS:Seventy two patients who underwent PCNL were randomly divided into two groups; PCNL using intact (group 1) and split (group 2) Amplatz sheath. Preoperative data, operative time, largest ext...
journal_title：Urology journal
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2016-08-25 00:00:00
abstract：PURPOSE:To investigate and compare the expression of OCT4B1 between tumor and non-tumor bladder tissues. MATERIALS AND METHODS:We investigated the expression of OCT4B1 in 30 tumor and non-tumor surgical specimens of the bladder, using the TaqMan real-time polymerase chain reaction approach and by carefully designing p...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2012-07-01 00:00:00
abstract：PURPOSE:Hypertension (HT) is known to be of the main risk factors for erectile dysfunction (ED). But non-dipping (<%10 drop in the night) of HT is not investigated truly. The aim of this study was to test the hypothesis that the non-dipper hypertensive patients are more prone to develop erectile dysfunction. MATERIALS...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4135
更新日期：2019-05-05 00:00:00
abstract：PURPOSE:Oxidative stress can cause tissue damage in many diseases. Oxidative status depends on the balance between total oxygen radical absorbance capacity and antioxidants. Neurogenic bladder (NB) is a special state where oxidative status can influence urinary tract function. We decided to measure antioxidant (thiol) ...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2014-05-06 00:00:00
abstract：PURPOSE:The aim of this study is to compare the results of transurethral incision of the prostate (TUIP) and transurethral resection of the prostate (TURP) for the surgical treatment of benign prostate hyperplasia (BPH) in patients with renal transplantation. MATERIALS AND METHODS:Between April 2009 and May 2016, BPH ...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.4074
更新日期：2018-07-10 00:00:00
abstract：PURPOSE:The study focus is on the quantitative achievements in urology education and growth trends in urologic surgical workforce and fellowships by gender since 1979. MATERIALS AND METHODS:This comprehensive national quantitative study was performed in Iranian Academy of medical science. The first hand data gathered ...
journal_title：Urology journal
pub_type： 杂志文章
doi：
更新日期：2014-01-04 00:00:00
abstract：PURPOSE:To evaluate the efficacy of silodosin in the medical expulsive therapy for symptomatic distal ureteral stones. MATERIALS AND METHODS:This prospectively randomized controlled trial was carried out from May 2011 to December 2014. In all, 198 patients with radiopaque distal ureteral stones <10 mm in size were eli...
journal_title：Urology journal
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2016-06-28 00:00:00
abstract：:In this short communication we briefly discuss some aspects of organ shortage for transplantation with a brief characterization of the Iranian model of kidney transplantation, and we present 3 interesting stories related to this model. ...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.5440
更新日期：2020-06-23 00:00:00
abstract：PURPOSE:To determine the efficacy and safety of PCNL in patients with positive urine culture without an any other risk factors prior to surgery, and to define an optimal pre-operative antibiotic regimen for these patients. MATERIALS AND METHODS:The study included 269 consecutive PCNL cases. These cases were divided in...
journal_title：Urology journal
pub_type： 杂志文章
doi：10.22037/uj.v0i0.5561
更新日期：2020-04-19 00:00:00
