TY - JOUR

T1 - Role of Endourological Procedures (PCNL and URS) on Renal Function

T2 - a Systematic Review

AU - Reeves, Thomas

AU - Pietropaolo, Amelia

AU - Gadzhiev, Nariman

AU - Seitz, Christian

AU - Somani, Bhaskar K.

N1 - Publisher Copyright: © 2020, The Author(s).

PY - 2020/5/1

Y1 - 2020/5/1

N2 - Purpose of Review: To present the latest evidence related to the impact of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) on the renal function. Recent Findings: Our review suggests that the overall renal function is not detrimentally affected by endourological interventions (URS, PCNL). This is however influenced by the preoperative renal function, presence of comorbidities such as diabetes and hypertension. For PCNL procedures, tract multiplicity, preoperative UTI, and postoperative bleeding also contribute to a decline in renal function. Summary: This review suggests that endourological interventions do not adversely affect renal function and tend to improve it in patients who do not have a poor renal function prior to the procedure. Several factors including poor preoperative renal function, diabetes, hypertension, and multiple percutaneous tracts appear to predispose patients to declining renal function after procedure, and these patients should be counseled for and followed up appropriately.

AB - Purpose of Review: To present the latest evidence related to the impact of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) on the renal function. Recent Findings: Our review suggests that the overall renal function is not detrimentally affected by endourological interventions (URS, PCNL). This is however influenced by the preoperative renal function, presence of comorbidities such as diabetes and hypertension. For PCNL procedures, tract multiplicity, preoperative UTI, and postoperative bleeding also contribute to a decline in renal function. Summary: This review suggests that endourological interventions do not adversely affect renal function and tend to improve it in patients who do not have a poor renal function prior to the procedure. Several factors including poor preoperative renal function, diabetes, hypertension, and multiple percutaneous tracts appear to predispose patients to declining renal function after procedure, and these patients should be counseled for and followed up appropriately.

KW - Chronic kidney disease

KW - Creatinine

KW - eGFR

KW - PCNL

KW - Renal function

KW - Ureteroscopy

UR - http://www.scopus.com/inward/record.url?scp=85083661781&partnerID=8YFLogxK

U2 - 10.1007/s11934-020-00973-4

DO - 10.1007/s11934-020-00973-4

M3 - Review article

C2 - 32318942

AN - SCOPUS:85083661781

VL - 21

JO - Current Urology Reports

JF - Current Urology Reports

SN - 1527-2737

IS - 5

M1 - 21

ER -