Results
The demographic and clinical data of the cases are summarized in Table
1. We observed no statistically significant difference between patients
in both groups in terms of age, body mass index (BMI), laboratory data,
presence of hydronephrosis, stone size, stone density, operation time,
and complication rates (p> 0.05).
The hemoglobin (Hb) and creatinine (Cre) levels of the patients before
and after surgery were compared separately, and a significant change was
observed (Table 1). While the median value in group 1 was 14.50 g / dL
before surgery, it was observed to be 13.05 g / dL postoperatively. In
group 2, the mean value of 14.30 g / dL decreased to 13.30 g / dL
postoperatively. In group 1, the mean creatinine value was 0.94 mg / dL
preoperatively and 0.87 mg / dL afterwards. The creatinine change in
Group 2 was 0.89 mg / dL preoperatively versus 0.83 mg / dL
postoperatively. The grade 3 and higher hydronephrosis record of the
patients were below 7% in both groups.
Complication rates were similar in both groups (p >0.05)
(Table 1). After the operation, 1 patient from group 1 and 3 patients
from group 2 developed renal colic. The patient in group 1 was
steinstrasse. Additional interventions were performed in these 4
patients in the second session (stage 3). Urosepsis developed secondary
to ureteral perforation in one patient from group 1 (stage 4). The
patient recovered following appropriate parenteral antibiotherapy and
intensive care support. Urinary infection developed in one patient in
group 2 (stage 2) which improved following oral antibiotherapy given in
accordance with urine culture. One patient had a fever of
>38.5°C, which recurred with antipyretic therapy.
Macroscopic hematuria was observed in one patient. He improved with bed
rest and standard hydration practices. (Table 2)