{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T08:57:20Z","timestamp":1791190640796,"version":"4.1.0"},"reference-count":18,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Introduction: Optimal nephrostomy tube selection following percutaneous nephrolithotomy (PCNL) remains controversial. Existing literature has largely emphasized overall complication rates; however, drainage-related mechanical events during catheter removal have not been adequately explored. This study aimed to compare 12 Fr Nelaton probes and re-entry Malecot nephrostomy catheters after mini-PCNL in terms of cost and early postoperative drainage-related complications. Methods: This single-center retrospective observational study included patients who underwent mini-PCNL between January 2023 and March 2026 and received either a 12 Fr Nelaton probe or a re-entry nephrostomy catheter at the end of the procedure. The primary endpoints were total per-patient cost and early postoperative complications associated with catheter removal. Secondary endpoints included stone-free rate, hemoglobin change, transfusion requirement, operative time, length of hospital stay, and overall complications. Results: A total of 230 patients were analyzed (mean age 45.8 \u00b1 14.7 years). Malecot catheters were used in 64.8% of cases and Nelaton probes in 35.2%. The overall complication rate was 16.5%, predominantly Clavien-Dindo grades I\u2013II. No significant differences were observed between the groups regarding overall complications, residual stones, transfusion requirement, hemoglobin change, infectious complications, or length of hospital stay (p &gt; 0.05). Operative time was significantly longer in the Nelaton group (p &lt; 0.05), although this difference did not affect clinical outcomes. During catheter removal, four cases of double-J stent migration and one case of stone migration occurred in the Malecot group, whereas no migration-related complications were observed in the Nelaton group. The per-patient cost was significantly lower in the Nelaton group. Conclusion: Malecot and Nelaton catheters yield comparable clinical outcomes following mini-PCNL. However, the Nelaton probe offers a significant cost advantage and reduces mechanical complications during catheter removal. It represents a safe and cost-effective alternative for routine cases, although further validation through larger prospective studies is warranted.<\/jats:p>","DOI":"10.1159\/uin\/aewag014","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T12:50:33Z","timestamp":1786798233000},"page":"1-1","source":"Crossref","is-referenced-by-count":0,"title":["Nelaton versus Malecot Nephrostomy after Supine Mini-Percutaneous Nephrolithotomy: A Comparative Study of Removal-Related Complications and Cost"],"prefix":"10.1159","author":[{"given":"Eser","family":"\u00d6rdek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"G\u00fcnsay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duran","family":"Kuru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sad\u0131k","family":"G\u00f6r\u00fcr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.040"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s40779-025-00606-2"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04454.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1089\/end.2005.19.348"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-023-01475-x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.03.055"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159\/000515995"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2197-7"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000367"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09936.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-021-01265-0"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2022.04.008"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2013.183"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/complications2010005"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2024.07.147"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13010177"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-025-01934-0"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2018.76299"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/uin\/aewag014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T08:48:01Z","timestamp":1791190081000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/uin\/aewag014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":18,"URL":"https:\/\/doi.org\/10.1159\/uin\/aewag014","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]}}}