ORIGINAL ARTICLE
Year : 2020  |  Volume : 32  |  Issue : 2  |  Page : 75-79

Nephrometry scoring system selects candidates for radical nephrectomy versus nephron-sparing surgery for treatment of renal masses and predicts surgical and oncological outcome


1 Department of Urology, Armed Forces College of Medicine, Cairo, Egypt
2 Department of Maadi Military Hospital, Egyptian Military Medical Academy and Urology Specialist at Maadi Armed Forces Hospital, Cairo, Egypt

Correspondence Address:
Ahmed Mohamed Saafan
Armed Forces College of Medicine, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HUAJ.HUAJ_6_20

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Purpose: The study was designed to ensure the sensitivity of preoperative planning by applying radius, endophytic/exophytic, nearness to collecting system, anterior/posterior, and location to poles (RENAL) nephrometry scoring system on computed tomography films of patients having organ-confined solid and cystic renal tumors and to assess its correlation with the surgical technique by applying RENAL on the specimen intraoperative. Materials and Methods: Eighty-five patients with organ-confined solid and cystic renal masses underwent RENAL nephrometry system which was correlated with the surgical technique either radical or nephron-sparing surgery or the surgical and oncological outcome. Results: RENAL nephrometry scoring system shows high sensitivity with the type and outcome of surgery of resection of the renal tumors. Conclusion: RENAL nephrometry score system is an objective method to help in the decision of surgical approach to resect organ-confined solid and cystic renal tumors.


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