Long-term effects of percutaneous nephrolithotomy on renal morphology and arterial vascular resistance as evaluated by color Doppler ultrasonography

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dc.authoridALTINOK, M. Tayfun/0000-0002-8779-9382;
dc.authorwosidALTINOK, M. Tayfun/AAS-7079-2021
dc.authorwosidkılıç, süleyman/AAO-2348-2020
dc.contributor.authorKiliç, S. leyman
dc.contributor.authorAltinok, Tayfun
dc.contributor.authorAltunoluk, B. lent
dc.contributor.authorErdogan, Özg l
dc.contributor.authorOguz, Fatih
dc.date.accessioned2024-08-04T20:15:26Z
dc.date.available2024-08-04T20:15:26Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe evaluated the long-term effects of percutaneous nephrolithotomy (PNL) on renal morphology and vascular resistance. Parenchyma thickness, echogenicity and resistive index (RI) of upper, middle and lower poles of operated and contralateral kidneys of 41 patients with 82 renal units who underwent unilateral PNL with single pole access between 2000 and 2002 were examined separately by color Doppler ultrasonography. Mean patient age and duration between PNL and evaluation time were 38.29 +/- 11.53 years and 46.44 +/- 10.9 months, respectively. In operated kidney, mean RI, parenchyma thickness and echogenicity of the access pole were not statistically different than those of the adjacent two poles (0.608 +/- 0.053 vs. 0.608 +/- 0.052 for RI, P=0.895; 11.46 +/- 2.58 vs. 11.41 +/- 2.68 mm for parenchyma thickness, P=0.838; 0.049 +/- 0.31 vs. 0.073 +/- 0.33 for parenchyma echogenicity, P=0.160, respectively). Although mean RI and parenchyma thickness of access pole were statistically significantly different than the mean values of contralateral kidney (0.562 +/- 0.032 and 14.31 +/- 1.37 mm, respectively), no statistical difference was found between mean parenchyma echogenicities of both of them (echogenicity of contralateral kidney was 0, P=0.317). No significant difference was found between the average echogenicities of the three poles of the operated and contralateral kidneys (0.063 +/- 0.32 vs. 0, P=0.080). In 14 patients RI decreased from 0.694 +/- 0.058 to 0.602 +/- 0.056 in operated kidney (P=0.001) and from 0.604 +/- 0.06 to 0.559 +/- 0.031 in contralateral kidney (P=0.018) following PNL. It seems that PNL does not cause renal scarring, renal parenchymal loss or increase in renal vascular resistance in the long term. However, prospective studies must be performed for more definitive conclusions.en_US
dc.identifier.doi10.1007/s00240-006-0038-4
dc.identifier.endpage183en_US
dc.identifier.issn0300-5623
dc.identifier.issn1434-0879
dc.identifier.issue3en_US
dc.identifier.pmid16435138en_US
dc.identifier.scopus2-s2.0-33646716839en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage178en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-006-0038-4
dc.identifier.urihttps://hdl.handle.net/11616/94382
dc.identifier.volume34en_US
dc.identifier.wosWOS:000237650100004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrological Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectrenal stone diseaseen_US
dc.subjectpercutaneous nephrolithotomyen_US
dc.subjectcolor Doppler ultrasonographyen_US
dc.subjectresistive indexen_US
dc.subjectrenal damageen_US
dc.titleLong-term effects of percutaneous nephrolithotomy on renal morphology and arterial vascular resistance as evaluated by color Doppler ultrasonographyen_US
dc.typeArticleen_US

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