Category: Clinical Stones: PCNL

MP26-10 - Micropercutaneous Nephrolitotomy for Geriatric Patients: a prospective study

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective : To evaluate the safety and efficacy of micro-PNL in geriatric patients (>65 years) with kidney stones


Methods : From July 2014 to July 2017, a total of 101 micro-PNL procedures were enrolled to the study. Of these cases, while 26 micro-PNL procedures were performed in geriatric patients (Group 1), the remaining 75 procedures were performed in relatively younger patients ( Group 2). All relevant data were obtained in an prospective manner. A comperative analysis was done between the two group of patients regarding the operative parameters, stone free rates, peri-post operative complications and post-operative hemoglobine values.


Results : Mean age values were 68,96±0,62 years in Group 1 and 38,36±1,35 years in Group 2. There was no statistically significant difference between two groups with respect to the stone size (17,27±0,64 vs 16,56±0,51, p=0,36) and stone number (1,15±0,07 vs 1,28±0,05, p=0,19). The stone free rate was 84,6 % in Group 1, this value was was 78,6 % in Group 2 with no statistically significant difference between the two groups (p=0,064). A total of 7 patients demonstrated complications in the geriatric group. On the other hand, in younger group, a total of 16 patients had complication. The rate of complications did not show any statistically significant difference in both groups. However, the mean hospitalization time was significantly higher in the geriatric group (3,34±0,31 versus 2,47±0,15 respectively, p=0,02).


Conclusions : A safe and effective approach micro-PNL system could be performed in geriatric patients to achieve a complete stone disintegration with a single session in a tubless manner with limited or no complications.

Kemal Sarica

Professor of Urology
Kafkas University, Faculty of Medicine, Urology Department
Kars, Kars, Turkey

Name, Surname: Kemal SARICA
Academic Title: Professor doctor M.D. , Ph D
Speciality: Urology
Place & Date of Birth: Ardahan / 1963
Graduated Faculty & Year: University of Ankara, Medical School, 1981
Place & Date Residency in Urology: University of Ankara, Medical School ,Department of Urology 1987-1992
Place & Date of Professorship: University of Gaziantep, Medical School, Dept. of Urology,
2003
Foreign languages: English ,German

March 2013-2018 Chair, Department of Urology, Health Sciences University, Dr.Lutfi KIRDAR
Kartal Research and Training Hospital Istanbul / TURKEY
2018 - Chaiman, Department of Urology, Kafkas University Medical School Kars / TURKEY

Professional Publications
• Number of International Publications: 186
• Number of Local Publications: 75
• Number of National Congress Presentations: 342
• Number of International Congress Presentations: 464
• Number of Books/Book Chapters: 12


Memberships in Associations:
National
• Turkish Urological Association
• Turkish Endourological Society
• Pediatric Urology Association
• Turkish Cancer and Research Association
• Board member of “Turkish Endourological Society”


International
• American Urological Association (AUA)
• European Urological Association (EAU)
• Eurolithiasis Society (EULIS)
• International Urolithiasis Society ( Board member) (IUS)
• European Society for Pediatric Urology (ESPU)
• Society for Pediatric Urology (SPU)
• International Alliance of Urology ( IAU)

International positions in Associations :
• Chairman : EAU section of Urolithiasis ( EULIS)
• Co-chairman International Alliance of Urolithiasis (IAU)

Member ( Editorial board)
Urolithiasis ( Associate editor)
Archiv.Italian.Urol.Androl ( Editorial board)
Journal of Urology ( Reviewer)
European Urology ( Reviewer)
Pediatric Nephrology ( Reviewer)
Jornal of Endourology ( Reviewer)

Murat Bagcioglu

Assistant Professor of Urology
Kafkas University, Faculty of Medicine, Urology Department
Kars, Kars, Turkey

Serkan Ozcan

Assistant Professor of Urology
Katip Celebi University, Faculty of Medicine, Urology Department
İzmir, Izmir, Turkey

Ismet BILGER.. Erihan

Assistant Professor of Urology
Kafkas University, Faculty of Medicine, Urology Department
Kars, Kars, Turkey

Mehmet Uslu

MD
Kafkas University, Faculty of Medicine, Urology Department
Kars, Kars, Turkey

Ramazan Kocaaslan

Associated Professor of Urology
Kafkas University, Faculty of Medicine, Urology Department
Kars, Kars, Turkey