A prospective, single-centered, cohort study comparing the treatment of renal stones by following PCNL types: Standard, tubeless &amp; totally tubeless

Ahmad, Mumtaz; Mumtaz, Hassan; Hussain, Hassan ul; Sarfraz, Sharjeel; Rahat, Manahil; Mumtaz, Shamim

doi:10.1016/j.amsu.2022.104325

Cited by 2 publications

(3 citation statements)

References 37 publications

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“…No statistically significant differences were noted for postoperative infections (p = 0.205). Ahmed et al [23] found in their study to some extent similar results to our findings. They reported that the rate of problems during operation and postoperative complications was significantly higher in standard PCNL when compared to other techniques.…”

Section: Discussionsupporting

confidence: 93%

“…They found to be highly statistically significant with (P = 0.000). A study conducted in Pakistan, by Ahmad et al [23] reported in their study that the most common location of the stone in all the groups was the renal pelvis, followed by the lower calyx. Other less common locations included upper calyx, middle calyx, all calyces, pelvic ureteric junction, proximal ureter, distal ureter, and bladder.…”

Section: Discussionmentioning

confidence: 97%

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Comparison between Standard Percutaneous Nephrolithotomy versus Tubeless Percutaneous Nephrolithotomy

Hatroom

Saeed

2023

Int J Sci Healthcare Res

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Background: Percutaneous nephrolithotomy (PCNL) technique has become a routine treatment for upper urinary calculi. Objectives: To describe the socio-demographic characteristics of the patients and to compare the outcome of operated patients. Materials And Methods: This was a retrospective study, of patients underwent PCNL in our Urology Center, between January 2020 and December 2022. Data of age, side, location of stone, size of stone, operating time, hospital stay, post operation pain, residual stones, fever, fistula, blood transfusion, and postoperative infection were recorded and compared between the two groups. Data were analyzed by using the SPSS version 22. Independent t-tests were used to analyze continuous variables, while for categorical variables chi-square test was used to compare two groups and a p value of less than 0.05 was determined as statistically significant. Results: 51.1% of the patients were females and 48.9% were males, (P = 0.000). The mean age was 38.1 ± 11.1 years. The highest number of patients were in the age group 30 – 39 years (40.0%), (P = 0.000). The location of stones was in pelvic (48.9%), lower calyces (30.0%) and pelvic + lower calyces (21.1%), (P = 0.000). Pain was more common as moderate in both groups PCNL (42.2%). Residual stones were (23.4%) only in standard PCNL group, (P = 0.000). Fever was in (7.8%) standard PCNL and in tubeless PCNL was in (2.2%), (p = 0.045). Blood transfusion was provided to (5%) for the standard PCNL patients and (3.3%) for tubeless PCNL patients. Patients who had standard PCNL had postoperative infectious (2.2%) was found in standard PCNL patients. Mean operation-time and mean hospital stay of standard PCNL was predominant. Conclusion: Tubeless PCNL proved to be the safest and most effective. Keywords: Comparison, standard, tubeless percutaneous, nephrolithotomy.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Comparison between Standard Percutaneous Nephrolithotomy versus Tubeless Percutaneous Nephrolithotomy

Hatroom

Saeed

2023

Int J Sci Healthcare Res

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“…In this study, there were no significant differences in postoperative fever, sepsis, and postoperative related infection related indicators between the two groups. Related studies have shown that tubeless PCNL has been proven to be the safest and most effective compared to standard and totally tubeless PCNL [ 25 ]. Due to the absence of an indwelling nephrostomy tube, the VAS pain score in tubeless PCNL group was significantly lower than that in PCNL group [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Tubeless PCNL versus standard PCNL for the treatment of upper urinary tract stones: a propensity score matching analysis

Hao,

Shen,

Han

et al. 2023

Int Urol Nephrol

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Purpose In this study, the feasibility of tubeless percutaneous nephrolithotomy (PCNL) for the treatment of upper urinary tract stones was investigated. Methods From January 2021 to December 2022, the clinical data of 273 patients who received tubeless PCNL (Group A) were studied. The control group includes clinical data from 302 patients (from January 2019 to October 2022) who received standard PCNL (Group B). The baseline characteristics were consistent between the two groups after using the propensity score matching (PSM) method. Compare the preoperative clinical characteristics, postoperative complications, residual stones, catheterization time, and hospital stay between the two groups. Results 146 pairs of patients were successfully paired through PSM. There was no statistically significant difference in operative time, blood leukocyte counts, haemoglobin decrease, fever, urinary extravasation, sepsis, bleeding, blood transfusion rates, embolism, and residual stones after surgery between the two groups; Postoperative day 1 and discharge day, the VAS pain score in Group A was significantly lower than that in Group B. The catheterization time and hospitalization time of patients in Group A were significantly lower than those in Group B. Conclusion According to the inclusion and exclusion criteria, selecting suitable patients for tubeless PCNL is safe and effective, while significantly alleviating pain and reducing catheterization time and hospital stay.

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A prospective, single-centered, cohort study comparing the treatment of renal stones by following PCNL types: Standard, tubeless & totally tubeless

Cited by 2 publications

References 37 publications

Comparison between Standard Percutaneous Nephrolithotomy versus Tubeless Percutaneous Nephrolithotomy

Comparison between Standard Percutaneous Nephrolithotomy versus Tubeless Percutaneous Nephrolithotomy

Tubeless PCNL versus standard PCNL for the treatment of upper urinary tract stones: a propensity score matching analysis

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