Mini-Percutaneous Nephrolithotomy with Ureter Catheter: A Safe and Effective form of mPCNL Offers Better Quality of Life.

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  • Additional Information
    • Source:
      Publisher: Karger Country of Publication: Switzerland NLM ID: 0417373 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0399 (Electronic) Linking ISSN: 00421138 NLM ISO Abbreviation: Urol Int
    • Publication Information:
      Publication: Basel : Karger
      Original Publication: Basel.
    • Subject Terms:
      Quality of Life* ; Urinary Catheters*; Kidney Calculi/*therapy ; Nephrolithotomy, Percutaneous/*instrumentation ; Urinary Catheterization/*instrumentation; Adult ; Aged ; Analgesics/therapeutic use ; China ; Equipment Design ; Female ; Humans ; Kidney Calculi/diagnosis ; Male ; Middle Aged ; Nephrolithotomy, Percutaneous/adverse effects ; Pain Measurement ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Prospective Studies ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome ; Urinary Catheterization/adverse effects
    • Abstract:
      Objective: To compare outcomes and postoperative quality of life (QoL) among patients with kidney stone who received mini-percutaneous nephrolithotomy (mPCNL), partial tubeless mPCNL or mPCNL with ureter catheter in a prospective randomized clinical trial.
      Methods: From May 2017 to December 2017, 60 patients with kidney stone who underwent mPCNL were randomized into 3 groups: Group I (mPCNL), Group II (partial tubeless mPCNL), Group III (mPCNL with ureter catheter). We evaluated perioperative characteristics, stone clearance, analgesic requirements and QoL by using the Wisconsin Stone QOL questionnaire.
      Results: The age, gender, stone diameter, body mass index, length of operation, drop in hemoglobin and stone-free rates for the 3 groups were similar among these groups. However, the postoperative visual analog scale and the analgesic requirement in Group II were significantly the lowest (p < 0.05). According to Wisconsin Stone QOL questionnaire, compared to Group I, statistical significant difference in the QoL was seen in Group II and III, indicating a meaningful and immediate improvement in the postoperative QoL following mPCNL.
      Conclusion: Compared with standard and partial tubeless mPCNL, mPCNL with ureter catheter is a safe and useful form of mPCNL, which can offer better QoL and is more cost effective.
      (© 2018 S. Karger AG, Basel.)
    • Contributed Indexing:
      Keywords: Mini-percutaneous nephrolithotomy; Quality of life; Randomized control study; Tubeless; Wisconsin stone quality-of-life questionnaire
    • Accession Number:
      0 (Analgesics)
    • Publication Date:
      Date Created: 20181112 Date Completed: 20190724 Latest Revision: 20220408
    • Publication Date:
      20240628
    • Accession Number:
      10.1159/000494212
    • Accession Number:
      30415255