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ORIGINAL ARTICLE
Year : 2019  |  Volume : 11  |  Issue : 1  |  Page : 53-57

Evaluation of stone volume and its relationship with surgical outcomes in patients with staghorn calculi


Department of Urology, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India

Correspondence Address:
Dr. Vikram Satav
Department of Urology, Dr. D. Y. Patil Medical College, Pune, Maharashtra
India
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DOI: 10.4103/UA.UA_65_18

PMID: 30787571

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Introduction: Urolithiasis is one of the most common renal diseases with a significant burden on health-care system worldwide. Here, we evaluated the stone volume and its relationship with duration of operation, blood loss, and total stone clearance in patients with staghorn calculi. Materials and Methods: This was a prospective, single-center study conducted from October 2015 to September 2017. Patients of either sex aged more than 18 years of age with a confirmed diagnosis of staghorn calculus were eligible to participate in the study. Eligible patients were divided into three groups based on stone volume (assessed by three-dimensional computed tomography): Group 1 (≤5000 mm3), Group 2 (>5000 to ≤20,000 mm3), and Group 3 (>20,000 mm3). Results: A total of 85 patients were enrolled in the study (Group 1, n = 9; Group 2, n = 66; and Group 3, n = 10). The mean age was 43.68 years, and 62.4% of patients were male. The mean operative time increased significantly from Groups 1–3, (31.67, 60.14, and 92.30 min, respectively). The mean pre- and postoperative hematocrit was highest in Group 3 (2.82%) (P < 0.0001). Overall, the correlation between stone volume and operative time and difference in hematocrit showed a positive relationship. A total of five patients had residual calculus, and only four patients reported complications. Conclusions: The results showed that patients with larger stone volume need more operative time and may have more blood loss.


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