Bilateral simultaneous percutaneous nephrolithotomy versus staged approach for bilateral upper urinary tract calculi: A meta-analysis

Percutaneous management of upper tract stones: from mini to maxi percutaneous nephrolithotomy

“…In addition to the previous techniques to decrease bleeding, there have been several publications reporting on higher risk bleeding situations, including bilateral PCNL, PCNL on solitary kidneys and PCNL on low-dose aspirin [20,21,22 ▪ ]. Zhang et al 's [20] meta-analysis included five studies comparing bilateral simultaneous PCNL versus staged PCNL.…”

“…In addition to the previous techniques to decrease bleeding, there have been several publications reporting on higher risk bleeding situations, including bilateral PCNL, PCNL on solitary kidneys and PCNL on low-dose aspirin [20,21,22 ▪ ]. Zhang et al 's [20] meta-analysis included five studies comparing bilateral simultaneous PCNL versus staged PCNL. As expected, the simultaneous cases were associated with longer operative times and hospital stay, but there were no significant differences between stone-free rate, transfusion rate, fever, hemoglobin drop or overall complications, indicating that simultaneous bilateral PCNL should be an option for patients who require both sides treated.…”