Is Percutaneous Nephrolithotomy Safe for Elderly Kidney Stone Patients?
|Hakan Türk1*, Mehmet Yoldaş1, Tufan Süelözgen2, Mustafa Karabıçak2, Batuhan Ergani2, Cemal Selcuk Isoglu2, Sıtkı Ün3 and Ferruh Zorlu2|
|1Department of Urology, Dumlupınar University, Evliya Celebi Training and Research Hospital, Kutahya, Turkey|
|2Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey|
|3Department of Urology, Ataturk Training and Research Hospital, Izmir, Turkey|
|*Corresponding Author :||Hakan Türk
Department of Urology, Dumlupınar University
Evliya Celebi Training and Research Hospital, Kutahya, Turkey
Tel: +90 555 551 68 85
E-mail: [email protected]
|Rec date: Jan 11, 2016; Acc date: Mar 28, 2016; Pub date: Apr 02, 2016|
|Citation: Turk H, Yoldas M, Suelozgen T, Karabiçak M, Ergani B, et al. (2016) Is Percutaneous Nephrolithotomy Safe for Elderly Kidney Stone Patients?. J Gerontol Geriatr Res 5:288. doi:10.4172/2167-7182.1000288|
|Copyright: © 2016 TÃ¼rk H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Introduction: As a minimally invasive surgical method, PNL displayed a great development in techniques as well as equipments in the course of time. A conservative approach is no longer accepted in the elderly kidney stone patient population. Percutaneous nephrolithotomy is indicated as an effective and safe treatment in all age groups. In this study, we present percutaneous nephrolithotomy results obtained from kidney stone patients aged 65 years and over. Materials and Methods: Based on the total PNL operations performed to 570 renal units in our clinic, age, gender, size, laterality and location of the kidney stone, body mass index and number of access were compared for the subjects who were divided into two groups as being over and under sixty-five years of age. Operative time, presence of complications, transfusion requirements, postoperative fever and stone-free rate were analyzed for the two groups. Results: There was no difference between the two groups in terms of gender, body mass index, stone burden, number of accesses and stone laterality. There was no statistically significant difference between two groups with regard to stone free rate, preoperative complication rate and the need for transfusion. The majority of the complications were pain, bleeding, urinary leakage, and postoperative fever. Conclusion: PNL is a technique used for many years with successful results in kidney stone disease. As a minimally invasive treatment, PNL is the gold standard approach for kidney stones, and an effective and reliable treatment modality for elderly patients too.