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Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review

PURPOSE OF REVIEW: To present the latest evidence related to the impact of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) on the renal function. RECENT FINDINGS: Our review suggests that the overall renal function is not detrimentally affected by endourological interventions (URS, PCNL)....

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Autores principales: Reeves, Thomas, Pietropaolo, Amelia, Gadzhiev, Nariman, Seitz, Christian, Somani, Bhaskar K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228975/
https://www.ncbi.nlm.nih.gov/pubmed/32318942
http://dx.doi.org/10.1007/s11934-020-00973-4
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author Reeves, Thomas
Pietropaolo, Amelia
Gadzhiev, Nariman
Seitz, Christian
Somani, Bhaskar K.
author_facet Reeves, Thomas
Pietropaolo, Amelia
Gadzhiev, Nariman
Seitz, Christian
Somani, Bhaskar K.
author_sort Reeves, Thomas
collection PubMed
description PURPOSE OF REVIEW: To present the latest evidence related to the impact of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) on the renal function. RECENT FINDINGS: Our review suggests that the overall renal function is not detrimentally affected by endourological interventions (URS, PCNL). This is however influenced by the preoperative renal function, presence of comorbidities such as diabetes and hypertension. For PCNL procedures, tract multiplicity, preoperative UTI, and postoperative bleeding also contribute to a decline in renal function. SUMMARY: This review suggests that endourological interventions do not adversely affect renal function and tend to improve it in patients who do not have a poor renal function prior to the procedure. Several factors including poor preoperative renal function, diabetes, hypertension, and multiple percutaneous tracts appear to predispose patients to declining renal function after procedure, and these patients should be counseled for and followed up appropriately.
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spelling pubmed-72289752020-05-18 Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review Reeves, Thomas Pietropaolo, Amelia Gadzhiev, Nariman Seitz, Christian Somani, Bhaskar K. Curr Urol Rep Endourology (P Mucksavage and B Somani, Section Editors) PURPOSE OF REVIEW: To present the latest evidence related to the impact of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) on the renal function. RECENT FINDINGS: Our review suggests that the overall renal function is not detrimentally affected by endourological interventions (URS, PCNL). This is however influenced by the preoperative renal function, presence of comorbidities such as diabetes and hypertension. For PCNL procedures, tract multiplicity, preoperative UTI, and postoperative bleeding also contribute to a decline in renal function. SUMMARY: This review suggests that endourological interventions do not adversely affect renal function and tend to improve it in patients who do not have a poor renal function prior to the procedure. Several factors including poor preoperative renal function, diabetes, hypertension, and multiple percutaneous tracts appear to predispose patients to declining renal function after procedure, and these patients should be counseled for and followed up appropriately. Springer US 2020-04-21 2020 /pmc/articles/PMC7228975/ /pubmed/32318942 http://dx.doi.org/10.1007/s11934-020-00973-4 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Endourology (P Mucksavage and B Somani, Section Editors)
Reeves, Thomas
Pietropaolo, Amelia
Gadzhiev, Nariman
Seitz, Christian
Somani, Bhaskar K.
Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title_full Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title_fullStr Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title_full_unstemmed Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title_short Role of Endourological Procedures (PCNL and URS) on Renal Function: a Systematic Review
title_sort role of endourological procedures (pcnl and urs) on renal function: a systematic review
topic Endourology (P Mucksavage and B Somani, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228975/
https://www.ncbi.nlm.nih.gov/pubmed/32318942
http://dx.doi.org/10.1007/s11934-020-00973-4
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