Comparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy Used in the Treatment of 2-4 cm Kidney Stones in Terms of Pain and Need for Additional Analgesics: A Prospective Randomized Study

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dc.authoridKarakoyunlu, Nihat/0000-0002-6680-9860
dc.authoridSELMI, VOLKAN/0000-0003-2605-9935
dc.contributor.authorCakici, Mehmet Caglar
dc.contributor.authorKarakoyunlu, Nihat
dc.contributor.authorSari, Sercan
dc.contributor.authorOzok, Hakki Ugur
dc.contributor.authorSelmi, Volkan
dc.contributor.authorKartal, Ibrahim Guven
dc.contributor.authorNalbant, Ismail
dc.date.accessioned2024-09-29T16:03:06Z
dc.date.available2024-09-29T16:03:06Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractPurpose: To compare the effects of retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PNL) on postoperative pain and their differences in terms of the postoperative need for analgesics in the treatment of 2-4 cm kidney stones. Methods: A total of 132 patients who suffered from renal stones 2-4 cm in size and had surgery at our urology clinic between April 2015 and April 2017 were enrolled in this prospective study (NCT02430168). Patients were randomized into either the RIRS group (Group 1) or PNL group (Group 2) in a ratio of 1:1. Postoperative visual analog scale (VAS) values at 8 and 24 hours postoperatively and analgesic treatments of patients were recorded. Results: Patients from both groups had similar demographic characteristics. Stone-free states were achieved in 37 (74%) patients in the RIRS group and 45 (90%) patients in the PNL group. Postoperative complication rates were similar in two groups. Moreover, there was no statistically significant difference between the groups in terms of the postoperative need for analgesics (P = .309). However, the PNL group had higher VAS values (P < .001). Conclusion: Although the early postoperative pain scales were high in the PNL group, there was no significant difference between the groups in terms of the standard analgesic treatments for achieving patient's comfort. PNL, which has similar complications, but with higher success rates, compared with RIRS, did not require additional analgesic treatment during postoperative pain management. Thus, in our opinion, PNL should still remain as a first choice in treatment of 2-4 cm renal stones.en_US
dc.identifier.doi10.1089/lap.2020.0179
dc.identifier.endpage1307en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue12en_US
dc.identifier.pmid32397802en_US
dc.identifier.scopus2-s2.0-85097578317en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1301en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2020.0179
dc.identifier.urihttps://hdl.handle.net/20.500.14619/5905
dc.identifier.volume30en_US
dc.identifier.wosWOS:000532093500001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectanalgesiaen_US
dc.subjectpainen_US
dc.subjectPNLen_US
dc.subjectpostoperativeen_US
dc.subjectRIRSen_US
dc.subjectVASen_US
dc.titleComparison of Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy Used in the Treatment of 2-4 cm Kidney Stones in Terms of Pain and Need for Additional Analgesics: A Prospective Randomized Studyen_US
dc.typeArticleen_US

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