Conclusion
In conclusion, the present study is the first study the effect of CCI on
complications and outcomes in elderly patients following PCNL and RIRS.
Both PCNL and RIRS are equally effective and acceptable treatment
modalities for elderly patients with renal stones. PCNL had
significantly higher rates of stone clearance, but higher complication
compared to RIRS. CCI may be considered an acceptable predictive factor
for higher complication rates; therefore, RIRS might be a safer
alternative treatment method in older patients with high CCI scores.
Further prospective randomized studies will reveal more detailed
insights with larger patient series.
Funding None.