title: Factors Influencing the Duration of Urine Leakage following Percutaneous Nephrolithotomy.
abstract: Purpose. The duration of urine leakage following the removal of the nephrostomy tube after percutaneous nephrolithotomy (PCNL) shows significant variations depending on the techniques used. We aimed to assess the factors likely to influence the duration of urine leakage. Material and Methods. In total, 103 patients who underwent PCNL were reviewed retrospectively. DUL was evaluated regarding patient characteristics, thickness of the access line, presence of hydronephrosis, and residual stones. Results. DUL was significantly prolonged in accordance with a decrease in the thickness of parenchyma tissue (R = -0.716, P < 0.001). DUL was prolonged as the degree of hydronephrosis (R = 0.526, P < 0.001) and the number of patients with residual stones (R = 0.273, P = 0.005) increased. Median DUL was significantly longer in patients with residual stones than those without residual stones (P = 0.002). In the receiving operating curve analysis, the optimum cut-off value of parenchymal thickness for hospitalization ≤12 h was 17.2 mm (sensitivity, 90.2%; specificity, 69.4%; P = 0.001). Conclusions. We found that parenchymal thickness of the access line, hydronephrosis, and residual stones were the most influential factors determining DUL following PCNL, respectively.
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Ugur
authors.initials: U
authors.lastname: Uyeturk
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Gucuk
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Eray
authors.initials: E
authors.lastname: Kemahli
authors.affiliation: Department of Radiology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Dagistan
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Mevlut
authors.initials: M
authors.lastname: Yildiz
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Yilmaz
authors.affiliation: Department of Urology, Abant Izzet Baysal Medical Faculty, 14280 Bolu, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Metin