PCNL in neurogenic bladder: A challenging population for both clinical management and analysis

To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity. We conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last dec...

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Published inBJUI compass Vol. 4; no. 6; pp. 695 - 700
Main Authors Heijkoop, Bridget, Chislett, Bodie, Perera, Marlon, Esler, Stephen, Bolton, Damien, Webb, David Rowan
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.11.2023
John Wiley and Sons Inc
Wiley
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ISSN2688-4526
2688-4526
DOI10.1002/bco2.268

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Abstract To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity. We conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri-operative morbidity. A total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form. PCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.
AbstractList To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity.ObjectivesTo review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity.We conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri-operative morbidity.Subjects/patients and methodsWe conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri-operative morbidity.A total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form.ResultsA total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form.PCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.ConclusionPCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.
ObjectivesTo review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity.Subjects/patients and methodsWe conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri-operative morbidity.ResultsA total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form.ConclusionPCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.
Abstract Objectives To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri‐operative morbidity. Subjects/patients and methods We conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri‐operative morbidity. Results A total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form. Conclusion PCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.
To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of assessing peri-operative morbidity. We conducted a retrospective review of all neurogenic bladder patients who underwent PCNL at our hospital in the last decade with the aim of assessing peri-operative morbidity. A total of 298 PCNL were performed during the study period of which 58 were in patients with a neurogenic bladder or urinary diversion, 33 of which were in SCI patients. Preoperative demographic and stone characteristics, intraoperative data and postoperative length of stay and complications are summarised in table form. PCNL remains an acceptably safe and efficacious treatment for upper tract stone disease in patients with neurogenic bladders and will continue to have a valuable role where SCI prevents alternative approaches such as ureteroscopy.
Author Esler, Stephen
Chislett, Bodie
Heijkoop, Bridget
Webb, David Rowan
Bolton, Damien
Perera, Marlon
AuthorAffiliation 1 Austin Hospital Heidelberg Victoria Australia
3 Department of Surgery University of Melbourne Melbourne Victoria Australia
2 Department of Urology Austin Health Heidelberg Victoria Australia
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Keywords spinal cord injury
neurogenic bladder
PCNL
percutaneous nephrolithotomy
renal stones
Language English
License 2023 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.
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ObjectivesTo review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim of...
Abstract Objectives To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution with the aim...
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SubjectTerms Bladder
Calcium phosphates
Cerebral palsy
Comorbidity
Mortality
Multiple sclerosis
neurogenic bladder
Original
Pathology
Patient positioning
PCNL
percutaneous nephrolithotomy
Population
renal stones
Sepsis
Spina bifida
Spinal cord
spinal cord injury
Urinary tract infections
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Title PCNL in neurogenic bladder: A challenging population for both clinical management and analysis
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