Can We Use Single Step Dilation as a Safe Alternative Dilation Method in Percutaneous Nephrolithotomy?

• Published in: Urology (Ridgewood, N.J.) Vol. 99; pp. 38 - 41
• Main Authors: Suelozgen, Tufan, Isoglu, Cemal Selcuk, Turk, Hakan, Yoldas, Mehmet, Karabicak, Mustafa, Ergani, Batuhan, Boyacioglu, Hayal, Ilbey, Yusuf Ozlem
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-01-2017
• Subjects: Urology; dilation techniques; single step dilation; complications; percutaneous nephrolithotomy
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2016.09.014

Abstract Objective To examine the outcomes of the patients who underwent PCNL with single step dilatation technique in our clinic. Materials And Methods A total of 932 patients who underwent PCNL by using single step dilation technique in the period between 2008-2015 years in our clinic were included in the study. Data of the patients were analyzed, such as age, sex, stone burden, operative time, fluoroscopy time, operation success and perioperative/postoperative complications. Results Analysis of the data of 932 patients revealed similar operation success and complication rates as in the literature. Mean age of the patients included in the study was 48.9 years. Mean operative time was 66.6 minutes and mean fluoroscopy time was 139 seconds. Postoperative residual stone was detected in 17.1% of the patients. Postoperative fever was observed in 29 patients (3.1%), sepsis developed in 11 (1.1%) of them. Additional postoperative procedures were required in 29 patients (3.1%). No patients were lost due to complications. Our data was compatible with the literature. Conclusion Single step dilation technique can be used as an effective and safe alternative dilation method in adult patients.