Evidence map›Paper›PMID 41160241›Full record

ArticleWorld journal of urology2025

Which surgical method should be used in pediatric patients with a solitary kidney and 1-2 cm kidney stones?

Guclu Gurlen, Mubariz Aydamirov, Ergun Alma, Adem Altunkol, Ediz Vuruskan, Safiye Karkin, Gurkan Akbulut, Suleyman Barıs Kartal, Kadir Karkin

Abstract readComparative Study
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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Guclu GurlenDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Mubariz AydamirovDepartment of Urology, Başkent University Alanya Application and Research Center, Antalya, Turkey. aydemirov.89@mail.ru.ORCID http://orcid.org/0000-0002-7197-3585
Ergun AlmaDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Adem AltunkolDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Ediz VuruskanDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Safiye KarkinRebuplic of Turkey, Ministry of Health Municipal Houses Family Health Center 4, Adana, Turkey.
Gurkan AkbulutDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Suleyman Barıs KartalDepartment of Urology, Ceyhan State Hospital, Adana, Turkey.
Kadir KarkinDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate and compare the efficacy and safety of retrograde intrarenal surgery (RIRS) and Mini-percutaneous nephrolithotomy (PCNL) in treating pediatric patients with solitary kidneys harboring medium-sized (1-2 cm) kidney stones.

methodsThis study was conducted retrospectively. The two groups were compared in terms of surgical and postoperative parameters. Renal function was assessed both preoperatively and at the third month following surgery.

resultsThe mean age of patients in the mini-PCNL group was 13.5 ± 3.6 years, whereas that in the RIRS group was 10.7 ± 3.9 years (p = 0.772). The duration of fluoroscopy was significantly longer in the mini-PCNL group (126 ± 46.8 s) than in the RIRS group (55.3 ± 32.6 s) (p < 0.001). Conversely, the RIRS group had a longer operative time (58.3 ± 28.1 min) than did the mini-PCNL group (40.4 ± 19.2 min) (p = 0.028). At the one-month follow-up, stone-free rates were markedly higher in the mini-PCNL group (97.5%) than in the RIRS group (80.6%) (p < 0.001). There was no significant change in renal function following both surgeries.

conclusionsMini-PCNL demonstrated superior outcomes in terms of stone clearance, reduced operative duration, and a lower need for subsequent procedures. In contrast, RIRS was associated with reduced fluoroscopy exposure and minimal blood loss, although it necessitated more frequent use of supplementary interventions.

Indexed as

Kidney CalculiNephrolithotomy, PercutaneousSolitary KidneyAdolescentChildFemaleFluoroscopyHumansMaleOperative TimeRetrospective StudiesTreatment OutcomeKidney stoneMini-percutaneous nephrolithotomyRetrograde intrarenal surgerySolitary kidney

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.