Show simple item record

dc.contributor.authorOzturk, Funda Ulu
dc.contributor.authorResorlu, Berkan
dc.contributor.authorHamidi, Nurullah
dc.contributor.authorSelvi, İsmail
dc.contributor.authorBasar, Halil
dc.contributor.authorOzturk, Erdem
dc.contributor.authorYikilmaz, Taha Numan
dc.date.accessioned2022-07-04T16:00:19Z
dc.date.available2022-07-04T16:00:19Z
dc.date.issued2022
dc.identifier.citationOzturk E., Yikilmaz T. N. , Hamidi N., Ozturk F. U. , Selvi İ., Basar H., Resorlu B., "Stones hounsfield unit value and predictors of urinary leakage after PCNL", AFRICAN JOURNAL OF UROLOGY, cilt.28, sa.1, 2022
dc.identifier.issn1110-5704
dc.identifier.othervv_1032021
dc.identifier.otherav_cdafb186-01f7-403a-b9cf-d3d2507466fa
dc.identifier.urihttp://hdl.handle.net/20.500.12627/184744
dc.identifier.urihttps://avesis.istanbul.edu.tr/api/publication/cdafb186-01f7-403a-b9cf-d3d2507466fa/file
dc.identifier.urihttps://doi.org/10.1186/s12301-022-00281-y
dc.description.abstractBackground To evaluate the predictive factors of urinary leakage (UL) following percutaneous nephrolithotomy (PNL) and to investigate the relationship between Hounsfield unit (HU) of stone and UL. Methods We retrospectively reviewed the data of 728 patients who underwent PNL between January 2012 and January 2017. In total, 396 patients were eligible for the study. Patient demographics, renal factors, stone properties and operative details were collected. The association between UL and these variables were assessed by univariate and multivariate analysis. Results There was no statistically significant correlation considering age, body mass index and the presence of hypertension. The presence of diabetes mellitus (DM) was significantly correlated with UL (p < 0.001). Kidney related factors such as parenchymal thickness, hydronephrosis grade (HN), previous stone treatment, and stone related factors, such as stone surface area, stone burden, stone localization and HU value of stone, were found to affect UL status significantly (p < 0.001). Operation time, fluoroscopy time, treatment outcome, j stent use, percutenous nephrostomy (PCN) catheter stay time and the hospitalization time also had significant effect on UL (p < 0.001). Multivariable logistic analysis showed that presence of DM, parenchymal thickness, HU values, HN, operation time, j stent use, and PCN catheter stay time are independently related with UL following PCNL. Moreover, we determined a HU cut-off value of 933 with ROC analysis, which demostrated 84.9% sensitivity and 67.1% specificity for predicting UL. Conclusion This study has shown that we are more likely to encounter postoperative UL in stones with higher HU values. Therefore, we suggest clinicians to inform patients with this type of kidney stones about the probable complication of UL.
dc.language.isoeng
dc.subjectUrology
dc.subjectHealth Sciences
dc.subjectİç Hastalıkları
dc.subjectNephrology
dc.subjectNefroloji
dc.subjectDahili Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.titleStones hounsfield unit value and predictors of urinary leakage after PCNL
dc.typeMakale
dc.relation.journalAFRICAN JOURNAL OF UROLOGY
dc.contributor.departmentDr Abdurrahman Yurtaslan Training & Res Hosp , ,
dc.identifier.volume28
dc.identifier.issue1
dc.contributor.firstauthorID3419522


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record