Safety and Efficacy of RIRS in Geriatric Patients: A Comparative Evaluation on an Age Based Manner.

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 namely; Group 1 (n=122) patients aging < 65 years and Group 2 (n=43) patients aging above 65 years. Demographic and clinical data regarding the stone free rates, complication rates and need for secondary procedures were retrospectively evaluated. RESULTS:Of all the patients undergoing RIRS for kidney stones, 122 were below the age of 65 (73.9%) and 43 were above the age of 65 (26.1%). Mean age value for the patients aging more than 65 years was 74.16 ± 5.03 years and in addition to higher percentage of comorbidities, serum creatinine levels as well as ASA scores were also higher in this group when compared with younger counterparts. Although there was no statistically significant difference with respect to the operative duration, stone-free rates (SFR) and hospitalization period between the two groups, both complication rates and the need for additional interventions were higher in the older patient group (p = 0.038; p = 0.032). All complications noted in the both groups were minor (Grade I) complications according to the Clavien classification system. CONCLUSION:RIRS procedure can be applied as an effective and safe treatment alternative for the minimal invasive management of renal stones in relatively older patients (> 65 years) with similar hospitalization as well as stone free rates noted in the younger patients. No procedure related severe complication was noted in these cases.

journal_name

Urol J

journal_title

Urology journal

authors

Gokcen K,Dundar G,Bagcioglu M,Karagoz MA,Gokce G,Sarica K

doi

10.22037/uj.v0i0.4921

subject

Has Abstract

pub_date

2020-03-16 00:00:00

pages

129-133

issue

2

eissn

1735-1308

issn

1735-546X

pii

4921

journal_volume

17

pub_type

杂志文章
  • Comparison of intravesical application of chondroitin sulphate and colchicine in rat protamine/lipopolysaccharide induced cystitis model.

    abstract:PURPOSE:To investigate beneficial effect of the readily available colchicine through its intravesical application on protamine/lipopolysaccharide induced interstitial cystitis model in rat and to compare its efficacy to the chondroitin sulphate available for clinical use. MATERIALS AND METHODS:Twenty-four Wistar femal...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Sinanoglu O,Dogan Ekici I,Ekici S

    更新日期:2014-03-04 00:00:00

  • En bloc kidney transplantation from pediatric cadaveric donors to adult recipients.

    abstract:INTRODUCTION:The shortage of cadaveric donors for kidney transplantation has led to the expansion of the criteria used for donor selection, such as the use of pediatric cadaveric donors. In this study we reviewed our results of en bloc kidney transplantation of pediatric cadaveric donors to adults. MATERIALS AND METHO...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Mahdavi R,Arab D,Taghavi R,Gholamrezaie HR,Yazdani M,Simforoosh N,Tabibi A

    更新日期:2006-04-01 00:00:00

  • The α1 adrenoceptor antagonist tamsulosin for the treatment of voiding symptoms improves nocturia and sleep quality in women.

    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:

    authors: Kim SO,Choi HS,Kwon D

    更新日期:2014-07-08 00:00:00

  • Seminal plasma magnesium and premature ejaculation: a case-control study.

    abstract:INTRODUCTION:Our aim was to determine the relationship between genuine premature ejaculation and serum and seminal plasma magnesium. MATERIALS AND METHODS:In a case-control study carried out between January 2002 and December 2003, 19 patients with premature ejaculation were evaluated and compared with 19 patients with...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Nikoobakht M,Aloosh M,Hasani M

    更新日期:2005-04-01 00:00:00

  • End to End urethroplasty Post Urethral Uventa Stent Stricture, The First Case Report.

    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

    authors: Hosseini J,Tayebi-Azar A,Rahavian AH,Ghiasy S

    更新日期:2020-06-23 00:00:00

  • Management of benign prostatic hypertrophy-related urinary retention: current trends and perspectives.

    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:

    authors: Stamatiou K

    更新日期:2009-10-01 00:00:00

  • Surgical Treatment of Erectile Dysfunction and Peyronie's Disease Using Malleable Prosthesis.

    abstract:PURPOSE:Peyronie's disease (PD) is a condition of middle aged men and frequently accompanied by erectile dysfunction (ED) which was attributed to penile deformity, vascular pathology and psychological components. The implantation of semi-rigid penile prosthesis allows for these patients to undergo a simple procedure ai...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Yavuz U,Ciftci S,Ustuner M,Yilmaz H,Culha M

    更新日期:2015-12-23 00:00:00

  • Relationship Between Erectile Dysfunction, Diabetes and Dyslipidemia in Hypertensive-Treated Men.

    abstract:PURPOSE:PRESIDEN study is a large study to analyze the erectile dysfunction (ED) incidence in Spanish population. The present study is a pilot sub-analysis from PRESIDEN to determine if ED or plasma testosterone (TST) level in controlled hypertensive patients may be associated with comorbidities and/or plasma nitrite+n...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:10.22037/uj.v0i0.4068

    authors: Zamorano-Leon JJ,Segura A,Lahera V,Rodriguez-Pardo JM,Prieto R,Puigvert A,Lopez-Farre AJ

    更新日期:2018-11-17 00:00:00

  • Dorsal Island Penile Fasciocutaneous Flap for Fossa Navicularis and Meatal Strictures: Short and Intermediate Term Outcome in West African Men.

    abstract:PURPOSE:The aim of this study was to evaluate the use of a dorsal island penile fasciocutaneous flap in the man­agement of resistant fossa navicularis strictures in circumcised West African men. MATERIALS AND METHODS:From January 2004 to December 2013 there were twenty-one patients with fossa navic­ularis strictures (...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Tijani KH,Ojewola RW,Odusanya B,Yahya GL

    更新日期:2015-09-04 00:00:00

  • Effect of smoking on prognostic factors of transitional cell carcinoma of the bladder.

    abstract:PURPOSE:This study was conducted to evaluate the effects of smoking on the clinical characteristics and growth trend of transitional cell carcinoma (TCC) of the bladder. MATERIALS AND METHODS:In a retrospective case-control study from February 2000 to March 2003, patients with TCC of bladder, referred to our clinic, w...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Mohseni MG,Zand S,Aghamir SM

    更新日期:2004-10-01 00:00:00

  • Retained Surgical Gauze Presenting With Gross Hematuria: A Case Report.

    abstract::Gossipyboma is a mass which is made around a cotton sponge or abdominal compress retained in a patient during surgery accidentally. Patients manifest with either acute or chronic symptoms due to complications. Here in wereported an 89-year-old man case of transvesical migration of gossipyboma who presented with gross ...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Javanmard B,Yousefi MR,Fadavi B,Fallah Karkan M

    更新日期:2017-08-29 00:00:00

  • In situ anterior vaginal wall sling for treatment of stress urinary incontinence: extended application and further experience.

    abstract:INTRODUCTION:Our aim was to evaluate the efficacy of utilizing in situ anterior vaginal wall sling in the treatment of stress urinary incontinence (SUI). MATERIALS AND METHODS:The study included 11 women with a median age of 50 years (range, 36 to 60 years) who were operated on during the period of November 2005 to Au...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Mustafa M,Wadie BS

    更新日期:2009-01-01 00:00:00

  • Salvage repair of vesicovaginal fistula.

    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:

    authors: Yarmohamadi A,Asl Zare M,Ahmadnia H,Mogharabian N

    更新日期:2011-07-01 00:00:00

  • Validity of Neutrophil Gelatinase Associated Lipocaline as a Biomarker for Diagnosis of Children with Acute Pyelonephritis.

    abstract:PURPOSE:Novel biomarkers have been investigated for various renal disorders, including urinary tract infection (UTI). The aim of this study was to assess whether urine neutrophil gelatinase associated lipocaline (NGAL), could represent a reliable biomarker for diagnosis and treatment of children with acute pyelonephrit...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Nickavar A,Safaeian B,Valavi E,Moradpour F

    更新日期:2016-10-10 00:00:00

  • The Association of Stone Opacity in Plain Radiography with Percutaneous Nephrolithotomy Outcomes and Complications.

    abstract:PURPOSE:To investigate the influence of stone opacity in plain radiography on stone free rate and complications ofpercutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS:A number of 101 patients who underwent PCNL between July-September 2015 wereprospectively included. Stone opacity was judged on preoperative plain...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Maghsoudi R,Etemadian M,Kashi AH,Ranjbaran A

    更新日期:2016-12-08 00:00:00

  • Efficacy and Safety of Doxazosin in Medical Expulsive Therapy for Distal Ureteral Stones: A Systematic Review and Meta-analysis.

    abstract:PURPOSE:Alpha-blockers have been proven as an effective method for increasing the stone expulsion rate of distal ureteral stones. Limited studies have focused on doxazosin; its efficacy remained unclear. We performed this meta-analysis to investigate the efficacy and safety of doxazosin for patients diagnosed with dist...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:10.22037/uj.v16i7.5958

    authors: Ma L,Zou S,Yang L,Wang F

    更新日期:2020-08-25 00:00:00

  • Trans-Obturator Approach and the Native Tissue in the treatment of High Stage Prolapse of the Anterior Vaginal Wall: Midterm Results of a New Surgical Technique.

    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

    authors: Sharifiaghdas F

    更新日期:2020-06-18 00:00:00

  • Efficacy of Silodosin in Expulsive Therapy for Distal Ureteral Stones: A Randomized Double-blinded Controlled Trial.

    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:

    authors: Wang CJ,Tsai PC,Chang CH

    更新日期:2016-06-28 00:00:00

  • A Comparison Study between Theophylline and Placebo in Passage of Ureteral Stones.

    abstract:INTRODUCTION:Considering the high prevalence of urinary system stones and that non-medical treatments have more costs and side effects, we decided to evaluate the effect of theophylline in the passage of ureteral stones. MATERIALS AND METHODS:One hundred and fifty patients with ureteral stones were assigned into group...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Tadayyon F,Yazdani M,Ebadzadeh M

    更新日期:2004-07-01 00:00:00

  • The Effects of Nocturnal Blood Pressure Paterns and Autonomic Alterations on Erectile Functions in Patients with Hypertension.

    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

    authors: Yuvanc E,Dogru MT,Simsek V,Kandemir H,Tuglu D

    更新日期:2019-05-05 00:00:00

  • Influences of Different Operative Methods on the Recurrence Rate of Non-Muscle-Invasive Bladder Cancer.

    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

    authors: Li S,Jia Y,Yu C,Xiao H,Guo L,Sun F,Wei D,Zhang P,Li J,Liu J

    更新日期:2020-10-01 00:00:00

  • Randomized double blinded placebo controlled trial comparing diclofenac and piroxicam in management of acute renal colic and its clinical implications.

    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:

    authors: KandaSwamy GV,Dhanasekaran AK,Elangovan A,John B,Viswaroop B,Vedanayagam KS

    更新日期:2015-04-29 00:00:00

  • Epidemiologic and Clinical Characteristics of Patients Presenting with Renal Colic in Korea.

    abstract:PURPOSE:To investigate the epidemiologic and clinical characteristics of renal colic in Korea. MATERIALS AND METHODS:Forty-six participating emergency departments provide their essential informa­tion to the National Emergency Medical Center. We extracted the National Emergency Department Informa­tion System data from ...

    journal_title:Urology journal

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Hong DY,Kim JW,Lee KR,Park SO,Baek KJ

    更新日期:2015-07-01 00:00:00

  • Unclamped hand-assisted laparoscopic partial nephrectomy for predominantly endophytic renal tumors.

    abstract:PURPOSE:To describe our initial experience with unclamped laparoscopic hand-assisted partial nephrectomy for predominantly endophytic renal masses in the setting of relative contraindication to warm ischemia. MATERIALS AND METHODS:Unclamped laparoscopic hand-assisted partial nephrectomy was performed on eight consecut...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Engel JD,Williams SB

    更新日期:2013-01-01 00:00:00

  • Determination of the Safe Surgical Margin for T1b Renal Cell Carcinoma.

    abstract:PURPOSE:To determine the rational surgical margin for pathological T1b renal cell carcinoma (RCC). MATERIALS AND METHODS:This retrospective study included surveys of 60 patients with T1bN0M0 RCC who underwentradical nephrectomy (RN, n = 40) or partial nephrectomy (PN, n = 20) between October 2008 and December2014 at t...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Zhang K,Xie WL

    更新日期:2017-01-18 00:00:00

  • Laparoscopic bilateral retroperitoneal lymph node dissection in stage II testis cancer.

    abstract:PURPOSE:We report our experience with laparoscopic bilateral retroperitoneal lymph node dissection (RPLND) in 4 patients with stage II testis cancer. MATERIALS AND METHODS:Between January 2002 and January 2009, 4 patients with stage II testis cancer underwent laparoscopic bilateral RPLND. In 2 patients, laparoscopic b...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Basiri A,Asl-Zare M,Sichani MM,Djaladat H

    更新日期:2010-07-01 00:00:00

  • Arterial stiffness in kidney transplant recipients: an overview of methodology and applications.

    abstract:INTRODUCTION:Cardiovascular disease is still a major cause of mortality in kidney transplant patients. This is partially attributed to the nonclassic cardiovascular risk factors including arterial stiffness, an established independent predictor of mortality in several patient populations. MATERIALS AND METHODS:An exte...

    journal_title:Urology journal

    pub_type: 杂志文章,评审

    doi:

    authors: Khoshdel AR,Carney SL

    更新日期:2008-01-01 00:00:00

  • Management of nonpalpable incidental testicular masses: experience with 10 cases.

    abstract:PURPOSE:To determine the proportion of benign and malignant testicular lesions among patients with nonpalpable incidental testicular masses. METHODS AND MATERIALS:Ten patients with nonpalpable incidental testicular masses underwent surgical exploration. Surgery was performed via an inguinal approach with temporary cor...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Ayati M,Ariafar A,Jamshidian H,Soleimani A,Ghasemi F,Nowroozi MR

    更新日期:2014-11-01 00:00:00

  • Effect of thymoquinone on ethylene glycol-induced kidney calculi in rats.

    abstract:INTRODUCTION:The aim of this study was to investigate the effects of thymoquinone, a major component of Nigella Sativa seeds on ethylene glycol-induced kidney calculi in rats. MATERIALS AND METHODS:Sixty male Wistar rats were randomly divided into 6 groups (intact control, ethylene glycol control, and 4 experimental g...

    journal_title:Urology journal

    pub_type: 杂志文章

    doi:

    authors: Hadjzadeh MA,Mohammadian N,Rahmani Z,Rassouli FB

    更新日期:2008-07-01 00:00:00

  • Comparison of safety and efficacy of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in patients with renal pelvic stones: a randomized clinical trial.

    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:

    authors: Basiri A,Tabibi A,Nouralizadeh A,Arab D,Rezaeetalab GH,Hosseini Sharifi SH,Soltani MH

    更新日期:2014-11-30 00:00:00