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          VOLUME 47 / ISSUE 2

The Journal is Indexed in

5 - Are the urology residents capable of the ability of performing percutaneous nephrolithotomy?

Mehmet Taşkıran, Mustafa Kadıhasanoğlu, Mustafa Aydın, Umut Sarıoğulları, Hakan Şirin, Orhan Tanrıverdi, Muammer Kendirci, Cengiz Miroğlu

Objective: To compare abilities of urology residents with attending surgeons in performing percutaneous nephrolithotomy (PCNL) in a clinic where PCNL procedures are performed.

Material and Methods: A total of 533 PCNL procedures between November 2004 and January 2012 were divided into two groups: Group 1 (n=431): PCNL procedures performed by experienced urologists and group-2 (n=102): PCNL procedures performed by urology residents under supervision of experienced specialists. Patient’s age, gender, body mass index, fluoroscopy and operation times, stone burden, rate of blood transfusion, number of access, hospital stay, stone free-status and major complication rates were statistically compared between these two groups. Data were provided as mean +/- SD. Chi-square, student-t and Mann-Whitney U tests were used for statistical analyze and a p-value of ≤0.05 was considered statistically significant.

Results: When compared two groups, there were no significant difference with regards to demographic variables, stone burden, rate of blood transfusion and major complication rates (p>0,05). However, mean hospital stay and stone free rates in group-2 were better than group-1 (p<0,05). Also, mean fluoroscopy and operation time in group-2 were significantly shorter than in group-1.

Conclusions: These data demonstrated that the ability of urology residents for performing PCNL operation was found to be sufficient in a clinic where PCNL procedures are routinely performed.

Keywords: Percutaneous nephrolithotomy, renal stone disease, urology resident training program

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