2018 Volume 31 Issue 2 Pages 218-222
Purpose : Urolithiasis in bedridden patients is recently increasing, but it remains uncertain how to manage such cases. In this study, we aimed at clarifying safety and efficacy of upper urinary stone treatment after obstructive pyelonephritis in bedridden patients.
Materials and Methods : After April 2010, 80 bedridden patients with obstructive pyelonephritis were admitted to our institution. The overall survival and the pyelonephritis recurrence rate estimates were generated using Kaplan Meier methods.
Results : 67 patients underwent surgery (TUL : 49 patients, PNL : 8, ESWL : 7, nephrectomy : 4). The median age was 81 years and the female ratio were 69 %. The overall complications occurred in 18 (27%) patients and mortality rates were 4.5%. The 3-year overall survival and pyelonephritis free rate was 78% and 69%, respectively.
Conclusions : Stone removal for bedridden patients after obstructive pyelonephritis could be performed with slightly increasing morbidity rates. The recurrence rate about pyelonephritis was about 30% at 3 years.
