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    Comparison of Changes in Body Image of Patients with Renal Calculi Treated by Pyelolithotomy or Percutaneous Nephrolithotomy
    (Kuwait Medical Assoc, 2012) Aglamis, Erdogan; Ceylan, Cavit; Altinova, Serkan; Serefoglu, Ege Can; Beytur, Ali
    Objective: To compare changes in body image of patients who had pyelolithotomy (PYL) or percutaneous nephrolithotomy (PNL) for kidney stones Design: Prospective, descriptive study Setting: Elazig Education and Research Hospital, Turkey Subjects: A total of 69 patients, who had PNL or PYL done for renal stones, were evaluated, prospectively. Interventions: Patients were divided into two groups: PNL (39 patients) and PYL (30 patients). Body dismorphic disorder scale (BDDS) was used to measure body image changes of these patients before, one and six months after the operation. The patients were questioned and their answers were noted. BDDS score was calculated according to the answers. Main Outcome Measures: Mean BDDS scores between the two groups were statistically compared by t-test method Results: The difference of mean BDDS scores between two groups before the operation, and six months after the operation was not statistically significant (p > 0.4 and p > 0.4 respectively). However, mean BDDS scores one month after the operation were significantly higher in PYL group and perception of body image was worse (p = 0.01). Conclusion: In early postoperative period, perception of change in body image was significantly worse in the PYL group. However, in late postoperative period, there were no significant differences between the two groups of patients. For these reasons, we consider that the changes in body image should not be a determining factor for selecting the surgical approach.