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.

中文翻译：

---

腔内泌尿外科手术（PCNL 和 URS）对肾功能的作用：系统评价。

 审查目的

提出有关输尿管镜检查（URS）和经皮肾镜取石术（PCNL）对肾功能影响的最新证据。

 最近的发现

我们的综述表明，腔内泌尿外科干预（URS、PCNL）不会对整体肾功能产生不利影响。然而，这受到术前肾功能、糖尿病和高血压等合并症的影响。对于 PCNL 手术，管道多重性、术前 UTI 和术后出血也会导致肾功能下降。

 概括

本综述表明，腔内泌尿外科干预不会对肾功能产生不利影响，并且往往会改善术前肾功能正常的患者的肾功能。包括术前肾功能不良、糖尿病、高血压和多经皮管道在内的多种因素似乎导致患者术后肾功能下降，应对这些患者进行适当的咨询和随访。