Can We Use Single-step Dilation as a Safe Alternative Dilation Method in Percutaneous Nephrolithotomy?
OBJECTIVE
To examine the outcomes of the patients who underwent percutaneous nephrolithotomy with single-step dilatation technique in our clinic.


METHODS
A total of 932 patients who underwent percutaneous nephrolithotomy by using single-step dilation technique in the period between 2008 and 2015 in our clinic were included in the study. Data of the patients were analyzed, such as age, sex, stone burden, operative time, fluoroscopy time, operation success, and perioperative and postoperative complications.


RESULTS
An analysis of the data of 932 patients revealed similar operation success and complication rates as in the literature. Mean age of the patients included in the study was 48.9 years. Mean operative time was 66.6 minutes and mean fluoroscopy time was 139 seconds. Postoperative residual stone was detected in 17.1% of the patients. Postoperative fever was observed in 29 patients (3.1%), and sepsis developed in 11 (1.1%) of them. Additional postoperative procedures were required in 29 patients (3.1%). No patient was lost due to complications. Our data were compatible with the literature.


CONCLUSIONS
Single-step dilation technique can be used as an effective and safe alternative dilation method in adult patients.
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey. Electronic address: tsuelozgen@hotmail.com.
Tufan
T
Suelozgen
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
Cemal Selcuk
CS
Isoglu
Department of Urology, Evliya Celebi Education and Research Hospital, Kutahya, Turkey.
Hakan
H
Turk
Department of Urology, Evliya Celebi Education and Research Hospital, Kutahya, Turkey.
Mehmet
M
Yoldas
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
Mustafa
M
Karabicak
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
Batuhan
B
Ergani
Department of Statistics, Faculty of Science, Ege University, Izmir, Turkey.
Hayal
H
Boyacioglu
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
Yusuf Ozlem
YO
Ilbey
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004106:Dilatation / Q000379:methods*; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D000074642:Nephrolithotomy, Percutaneous / Q000379:methods*; D061646:Operative Time; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult