Patient’s quality of life following open surgery and percutaneous nephrolithotomy for renal calculi: Short form-36 study

Abstract

Introduction: The aim of the study is to evaluate and compare the long-term quality of life in patients operated for kidney
stones with either open stone surgery or percutaneous nephrolithotomy (PNL). Materials and Methods: Sixty patients (30
open surgery and 30 PNL) who have been operated were included in the study. Healthy group of 30 people was included as
the control group. Quality of life evaluation was done using the short form-36. Linear regression analysis, Chi-square test,
and ANOVA tests were used for the analysis of the data. Results: The mean age of patients was 48.9, 48.6, and 49.1 years
consecutively in patients who underwent open renal stone surgery, PNL, and the control group (P > 0.05). Female to male ratio
was 13/17 in both the open surgery group and PNL while this ratio was 12/18 in the control group (P > 0.05). Quality of life scores
was statistically found to be similar in the open surgery group and PNL group (P > 0.05). A decrease in all scores except mental
health with older ages was observed in patients who underwent either open or PNL surgery. The general health (GH) score
was significantly less in the open surgery and PNL group when compared to the healthy control group. A significantly lower
physical functioning, social role functioning, and role functioning score was observed in females. Conclusion: PNL and open
stone surgery have similar long-term quality of life outcomes. Both of these surgical interventions cause a similar significant
decrease in the GH perception in patients.