title: Single-centre comparison of a novel single-step balloon inflation device and Amplatz sheath dilatation during percutaneous nephrolithotomy: a pilot study.
abstract: OBJECTIVE
  A new second-generation balloon dilatation device for percutaneous nephrolithotomy (PCNL) has been launched, promising to challenge the traditional Amplatz serial dilators (ASDs). This device allows for the polyurethane sheath to be deployed on balloon inflation. Our primary objective in this pilot study was to determine whether the use of this new device impacted on overall patient outcome when compared with the traditional ASD system.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Department of Urology, Inkosi Albert Luthuli Central Hospital, Durban. Subject. Single-centre comparison of a novel single-step balloon inflation device and Amplatz sheath dilatation during percutaneous nephrolithotomy - a pilot study. Outcome measures. Single procedure success rates, retreatment rates, hospital stay, haemoglobin concentration, calculi volume, calculi configuration, patient demographics.
  
  
  RESULTS
  The stone-free rates after a single procedure were 30% (3/10) in the Amplatz sheath dilatation arm (series 1) and 80% (8/10) in the single-step balloon inflation device arm (series 2). Correspondingly, 11 individual repeat procedures in 7 patients (4 relook PCNLs, 5 ureteroscopies and 2 extracorporeal shockwave lithotripsies) were required in series 1 to render the remaining 70% stone free. Mean hospital stay was 5.2 days (range 3 - 10 days) in series 1 and 3.8 days in series 2. The mean fall in haemoglobin concentration after treatment was 1.79 g/dl in the whole group, 2.1 g/dl in series 1, and 1.5 g/dl in series 2.
  
  
  CONCLUSIONS
  The single-step balloon dilatation device is found to have an improved patient outcome compared with ASDs.
authors.affiliation: Department of Urology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. akalpee@yahoo.com
authors.forename: A R
authors.initials: AR
authors.lastname: Kalpee
authors.forename: R
authors.initials: R
authors.lastname: Venter
authors.forename: T
authors.initials: T
authors.lastname: Fourie
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D010865:Pilot Projects; D011140:Polyurethanes; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D011140:Polyurethanes