Kidney Calculi, Nephrolithotomy, Percutaneous, Ureteroscopy
Conditions
Brief summary
Advancements in technology and endourological armamentarium provides multiple surgical options for complicated stone patients. To avoid multiple operations and shorten the total operation durations, bilateral synchronous simultaneous stone surgery (BSSSS) has been popularized in recent years. Our aim is to evaluate the preliminary outcomes of BSSSS in patients undergoing supine percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS).
Interventions
PROCEDUREBilateral synchronous simultaneous stone surgery
Patients undergoing Bilateral synchronous simultaneous stone surgery (one kidney undergoing percutaneous nephrolithotomy, other kidney undergoing ureteroscopy at the same time in a single patient)
Sponsors
Marmara University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* patients scheduled for kidney stone surgery according to European Association Urology, Urolithiasis guidelines * patients with bilateral kidney stones
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stone free rate | at the 24th hour of the surgery | stone free status is decided according to both the immediate evaluation of the endoscopic view at the end of the operation and the post operative imaging with kidney, ureter, bladder X-ray at the 24th hour of the surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative urinary diversion | at the 24th hour of surgery | evaluation of patients whether they have a nephrostomy or a ureteral stent at the end of the operation |
| Radiation exposure | At 1st hour of surgery | The cumulative fluoroscopy dose that was emitted during surgery |
| Complications | at the 1st week of surgery | Complications are assessed according to Clavien Dindo classification |
| Hospital stay | will be assessed through completion of study, an average of 1 year. | The amount of days that the patient stayed at the hospital |
| Residual stone | at the 24th hour of surgery | The diameter of the stones that couldn't be retracted |
| Hemoglobin level change | from baseline to 24th hour of surgery | The amount of hemoglobin drop during and after surgery |
Countries
Turkey (Türkiye)
Contacts
Primary ContactYiloren Tanidir, Ass. Prof.
Backup ContactTarik Emre Sener, Urologist
Outcome results
None listed