Abstract
The elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 years, diagnosed with urethral stones and treated with HLL under local anesthesia. We noted the demographic data and visual pain scores (VAS) of the patients and the duration of the operation and hospital stay. Our analysis involved both the success rates of the surgical procedure and the complication rates according to the modified Clavien classification. In addition. we determined the patients’ preoperative clinical status using the Charlson comorbidity index (CCI). The mean age of the patients was 71.65 ± 8.19 years. Acute urinary retention was the most common complaint (45.2%). Their mean scores were 7.68 ± 2.53 according to CCI. The average operation time was 15.48 ± 5.22 min and the VAS was 2.03 ± 1.08. All patients were stone-free and there was a marked improvement in their symptoms None of them stayed in the hospital for more than one day. We did not observe any Grade 3 or higher complications. In light of the data obtained in our study, we concluded that HLL is an effective and reliable method to treat urethral stones under local anesthesia in elderly male patients.
Highlights
Aging is defined by the World Health Organization as “the decreased ability to adapt to environmental factors” and individuals aged ≥65 are called the elderly
We evaluated 31 male patients aged ≥65 years who underwent holmium laser lithotripsy (HLL) under local anesthesia for urethral stones between January 2016 and September 2019
International Prostate Symptom Score (IPSS), Quality of Life (QoL), post micturition residue (PMR) and uroflowmetry measurement (UFM) values were evaluated at the time of admission, except for those who presented with acute urinary retention
Summary
Aging is defined by the World Health Organization as “the decreased ability to adapt to environmental factors” and individuals aged ≥65 are called the elderly. Current technological developments related to public health have led to an increase the elderly population. Comprehensive epidemiological studies conducted in our geography estimate that—according to the 2000 data—the rate of the elderly population increased to 5.7%, and this rate will reach 21.7% in 2050. Many changes occur in the functions of the systems with aging, such as regression in the system functions, a decrease in organ reserves, weakening in hemostatic control, response to stress factors and adaptation to the environment. This makes the elderly more susceptible and vulnerable to pathologic clinical pictures
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