Advancements in technology and endourological armamentarium provides multiple surgical options for complicated stone patients. To avoid multiple operations and shorten the total operation durations, bilateral synchronous simultaneous stone surgery (BSSSS) has been popularized in recent years. Our aim is to evaluate the preliminary outcomes of BSSSS in patients undergoing supine percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Patients undergoing Bilateral synchronous simultaneous stone surgery (one kidney undergoing percutaneous nephrolithotomy, other kidney undergoing ureteroscopy at the same time in a single patient)
Marmara University Hospital
Istanbul, Turkey (Türkiye)
RECRUITINGStone free rate
stone free status is decided according to both the immediate evaluation of the endoscopic view at the end of the operation and the post operative imaging with kidney, ureter, bladder X-ray at the 24th hour of the surgery
Time frame: at the 24th hour of the surgery
Complications
Complications are assessed according to Clavien Dindo classification
Time frame: at the 1st week of surgery
Post operative urinary diversion
evaluation of patients whether they have a nephrostomy or a ureteral stent at the end of the operation
Time frame: at the 24th hour of surgery
Radiation exposure
The cumulative fluoroscopy dose that was emitted during surgery
Time frame: At 1st hour of surgery
Hemoglobin level change
The amount of hemoglobin drop during and after surgery
Time frame: from baseline to 24th hour of surgery
Hospital stay
The amount of days that the patient stayed at the hospital
Time frame: will be assessed through completion of study, an average of 1 year.
Residual stone
The diameter of the stones that couldn't be retracted
Time frame: at the 24th hour of surgery
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