Abstract:
PURPOSE:The impact of drainage type after percutaneous nephrolithotomy (PCNL) on the health-related quality of life (HRQoL) has been rarely studied. We conducted a prospective randomized study to evaluate the differences in HRQoL among patients who received different drainage types. METHODS:A total of 90 patients who underwent PCNL were randomized into three groups to receive a nephrostomy tube (Group 1), a Double-J (JJ) stent (Group 2), and an open-ended ureteral catheter (Group 3) after PCNL, respectively. We compared the perioperative characteristics, surgical outcomes, and HRQoL using Wisconsin Stone Quality of Life (WiSQoL) questionnaire among three groups. RESULTS:There were no significant differences in patients' characteristics such as age, gender ratio, body mass index, stone burden, and so on. Majority of the surgical outcomes (operative time, estimated blood loss, hemoglobin drop, postoperative complications, and stone-free rate) were also comparable, except for the duration of hospitalization, visual analog scale, and analgesic required. The preoperative WiSQoL scores were similar among the three groups, but significant differences occurred postoperation (Groups 1, 2, and 3, 122.0 vs 105.6 vs 124.4, p < 0.001). Besides, patients in Group 2 had lower willingness (Groups 1, 2, and 3, 86.7% vs 70.0% vs 96.7%, p = 0.02) to undergo the same procedure as future treatment, if needed. CONCLUSIONS:Our study suggested that the drainage types after PCNL using a nephrostomy tube or a JJ stent or an open-ended ureteral catheter were equally safe and efficacious, but patients who received a nephrostomy tube or an open-ended ureteral catheter had better HRQoL.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Jiang H,Huang D,Yao S,Liu Sdoi
10.1089/end.2017.0444subject
Has Abstractpub_date
2017-11-01 00:00:00pages
1131-1138issue
11eissn
0892-7790issn
1557-900Xjournal_volume
31pub_type
杂志文章,随机对照试验abstract::The long-term effects of extracorporeal shockwave lithotripsy (SWL) on children treated for renal calculi are unclear. To study the effects on the immature animal, we evaluated 31 Wistar white rats that underwent right nephrectomy at 30 days of age. At 40 days of age they were divided into three groups: a control grou...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.45
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abstract:BACKGROUND AND PURPOSE:Oxalobacter formigenes is an anaerobic commensal colonic bacterium capable of degrading oxalate through the enzyme oxalyl-CoA decarboxylase. It has been theorized that individuals who lack this bacterium have higher intestinal oxalate absorption, leading to a higher urinary oxalate concentration ...
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doi:10.1089/end.1999.13.299
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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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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903765444302
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
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