scholarly journals Postpercutaneous Nephrolithotomy Nephrostogram: Is It Mandatory? A Single Center Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Abdul Rouf Khawaja ◽  
Tanveer Iqbal Dar ◽  
Ajay Kumar Sharma ◽  
Farzana Bashir ◽  
Vipin Kumar Tyagi ◽  
...  
Keyword(s):  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
Single Center ◽  
Stone Clearance ◽  
X Ray ◽  
Routine Investigation ◽  
Single Center Experience ◽  
Second Look ◽  
A Prospective Study

Aims and Objective. “Postpercutaneous nephrolithotomy nephrostogram” (PPNN) is routinely performed in most of the centers. No published series could be found in the literature without post percutaneous nephrolithotomy nephrostogram. Hence, the aim of our study is to highlight that post percutaneous nephrolithotomy nephrostogram is not mandatory and it only adds to cost and morbidity without adding any information in the management of such patients.Methods. It was a prospective study from 2005 to 2012, conducted in our institute. It included 119 patients of renal stones who underwent percutaneous nephrolithotomy performed under the guidance of a single surgeon. Postoperative nephrostogram was not done in any of the patients.Results. Complete stone clearance was achieved in 97.5% of patients and 2.5% of patients needed two to three sessions of ESWL later on. None of the patients needed second look percutaneous nephrolithotomy or nephrostogram.Conclusion. Postpercutaneous nephrolithotomy nephrostogram increases chances of infection, inconvenience, contrast related complications, and cost, with no added advantage over plain X-ray KUB, and it should not be done as a routine investigation prior to the removal of PCN tube in patients with complete stone clearance.

scholarly journals A Prospective Study and Single Center Experience: Effectivity of Fusion Prostate Biopsy in Biopsy-Naïve Patients

Cureus ◽  
2021 ◽  
Author(s):  
Türev Demirtaş ◽  
Ahmet Gur ◽  
Abdullah Golbasi ◽  
Gökhan Sönmez ◽  
Şevket T Tombul ◽  
...  
Keyword(s):  
Prospective Study ◽  
Prostate Biopsy ◽  
Single Center ◽  
Single Center Experience ◽  
A Prospective Study

scholarly journals Long-term safety and outcome of a temporary self-expanding metallic stent for achalasia: a prospective study with a 13-year single-center experience

2009 ◽  
Vol 19 (8) ◽  
pp. 1973-1980 ◽  
Author(s):  
Jun-Gong Zhao ◽  
Yong-Dong Li ◽  
Ying-Sheng Cheng ◽  
Ming-Hua Li ◽  
Ni-Wei Chen ◽  
...  
Keyword(s):  
Prospective Study ◽  
Metallic Stent ◽  
Single Center ◽  
Single Center Experience ◽  
A Prospective Study

scholarly journals Percutaneous nephrolithotomy through superior calyceal approach - our experience

Pulse ◽  
1970 ◽  
Vol 3 (1) ◽  
pp. 4-6
Author(s):  
AU Shaikh ◽  
R Biswas ◽  
NUM Arif ◽  
N Miah ◽  
W Zaman
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Invasive Procedure ◽  
Renal Stones ◽  
Renal Calculi ◽  
Stone Size ◽  
Stone Clearance ◽  
X Ray ◽  
Percutaneous Punctures ◽  
Main Complication

Introduction: Percutaneous Nephrolithotomy (PCNL) is considered the treatment of choice for large (> 2 cm size) renal stones at present. Aim of this study was to evaluate the results of PCNL as monotherapy in our centre which were done through superior calyceal approach.Materials and Methods: Seventy five patients with three bilateral renal stone (total 78 renal units) that underwent PCNL through superior calyceal approach at Apollo Hospitals Dhaka from May 15, 2005 to December 15, 2007 were included in this retrospective study. Selected patients had renal stones more than 2 cm in size (average stone size 35 mm and surface area 750 mm2). Ultrasonogram, intravenous urogram and in some selected cases CT scan were done to detect the location and size of the stone. Urologist performed percutaneous punctures through superior calyx in prone position under fluoroscopic guidance and general anaesthesia were employed in all cases. Post-operative stone clearance was documented on plain X-ray KUB and ultrasonogram KUB.Results: PCNL was successfully (complete stone clearance and insignificant residue) carried out in 68 patients (69 renal units). Average stone clearance was 88.46%. No second look procedures were needed. Uro-sepsis was the main complication, occurred in 9 renal units (11.53 %) while urinary leakage/ fistula in 6.41%, significant bleeding in 6 renal units (7.69 %) and pleural breach with fluid in pleural cavity (hydrothorax) in 2 (2.6 %) cases. Mean blood transfusion was 1.2 units and mean hospital stay was 67 hours.Conclusion: Monotherapy with PCNL is highly effective in the treatment of large volume renal calculi and staghorn calculi using superior calyceal supracostal and subcostal approach. As a minimally invasive procedure, it is quite safe in experienced hand.Keywords: Percutaneous nephrolithotomy, Renal stone, Superior calyceal puncture, Staghorn calculiDOI: 10.3329/pulse.v3i1.6543Pulse Vol.3(1) July 2009 p4-6

scholarly journals Image-Guided Access for Percutaneous Nephrolithotomy: A Single-Center Experience in 591 Patients

2018 ◽  
Vol 12 (4) ◽  
pp. 210-215
Author(s):  
Patrick L. Vande Lune ◽  
David Thayer ◽  
Naganathan Mani ◽  
Andrew Warren ◽  
Alana C. Desai ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Clinical Success ◽  
Lower Pole ◽  
Single Center ◽  
Access Site ◽  
Stone Size ◽  
Stone Clearance ◽  
Staghorn Calculi ◽  
Image Guided ◽  
Single Center Experience

Introduction: We present our experience in image-guided percutaneous nephrolithotomy (PCNL) access in 591 patients. Materials and Methods: An IRB-approved review of all adult PCNL cases from 2009 to 2014 was performed. Patient data, information regarding stone size and location, procedural details, clinical success, complications by access site (upper pole versus middle or lower pole) and puncture location (supracostal versus infracostal) were recorded. Results: In this study, 591 patients (314 males, 278 females, mean stone size: 23 mm, range: 4-100 mm) were included. Stone clearance was achieved in 66% of patients. There were 174 total complications (29.3%). Upper pole access was less likely to require a secondary access to achieve stone clearance (p = 0.02) and was preferentially used for both larger stones (p = 0.006) and staghorn calculi (p = 0.001). If a supracostal approach to the upper pole was used, there were significantly more complications compared to an infracostal approach (p = 0.002). Conclusion: Upper pole access for PCNL provides anatomic advantages for stone clearance but significantly increases the risk for complications when a supracostal puncture is required.

Outcome of Mini-percutaneous Nephrolithotomy for Renal Stones in Infants and Preschool Children: A Prospective Study

Urology ◽  
2015 ◽  
Vol 86 (5) ◽  
pp. 1019-1026 ◽  
Author(s):  
Kareem Daw ◽  
Ahmed M. Shouman ◽  
Mohammed S. Elsheemy ◽  
Ahmed I. Shoukry ◽  
Waseem Aboulela ◽  
...  
Keyword(s):  
Preschool Children ◽  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
A Prospective Study
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