Success and Complication Rates in 729 Percutaneous Nephrolithotomies at a Single Centre

Chew, Ben H.; Chiu, Rita Yw; Hamidizadeh, Ramin; Wright, I. M.; Chan, Siu Him; Rowley, Victor A; Zwirewich, Charles; Paterson, Ryan F.

doi:10.1016/s0022-5347(09)61395-1

Cited by 3 publications

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“…Acute hemorrhage is the most common significant complication of percutaneous access into the upper urinary tract collecting system. PCN alone results in haemorrhage requiring transfusion in 0.5% to 4% of procedures [7][8][9] With the addition of percutaneous nephrolithotripsy, likely owing to the larger caliber of the percutaneous tract and increased intrarenal manipulation, the incidence of hemorrhage to the point of transfusion rises to 6% to 20% [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Delayed Haematuria after Percutaneous Nephrolithotripsy and its Management

Valecha¹,

Bagheri²,

Hassani³

et al. 2017

Med Surg Urol

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Objective: To evaluate the risk factors and management of patients developed delayed haematuria after Percutaneous nephrolithotripsy (PCNL).Methods: Data taken from 75 patients, who underwent PCNL procedures between January 2013 to June 2017. Among them 53 were male, 22 were female. Five patients presented with delayed haematuria. They were hospitalized and initially managed conservatively by bed rest and conservative treatment. Diagnostic imaging with ultrasound and non-contrast abdominal CT and serial follow up with blood tests were carried on. Angiography was performed, if indicated, to evaluate and treat possible vascular injury. All affected patients had risk factors for haematuria. Out of five, four patient had angiography, in two patients it confirm vascular injury and treated accordingly, while two were normal and one refuse for angiography. Conclusion:Delayed hematuria is one of rare and serious outcome of PCNL, but can be safely managed without serious consequences. Mostly it is secondary to vascular complication e.g., pseudo aneurysms. Presence of risk factors increases chance of haematuria. Conservative treatment is effective. In responders angiography; and embolization can be done, whenever indicated.

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Section: Introductionmentioning

confidence: 99%

Delayed Haematuria after Percutaneous Nephrolithotripsy and its Management

Valecha¹,

Bagheri²,

Hassani³

et al. 2017

Med Surg Urol

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Percutaneous Approaches to the Upper Urinary Tract Collecting System

Wolf¹

2012

Campbell-Walsh Urology

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Percutaneous Nephrolithotomy: Our Initial Experience With 125 Cases

Mahmood¹

2016

JSMC

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Background Percutaneous nephrolithotomy (PCNL) is generally accepted to be a minimal invasive technique with low complication rates. In the current study we reviewed our initial experience with percutaneous nephrolithotomy. Patients and Methods A prospective study of 125 patients with mean age of (34.65) years, underwent PCNL in our center from April 2009 to November 2010. PCNL done in prone position by a single experienced faculty urologists under general or spinal anesthesia under fluoroscopic guidance. The kidney was punctured via a lower pole calyx whenever possible. The demographic data, stone parameters, PCNL complications and stone-free rate were evaluated. Results One hundred twenty five patients, underwent percutaneous nephrolithotomy , 85 male and 40 female, with a mean (range) age of 34.65 (3-83) years, and a mean (range) stone size of 39,6 mm (10-80) mm. Stone-free rate after PCNL monotherapy was 81.6%, which increased to 88% with clinically insignificant small residual fragments ≤4 mm. Overall complication rate was observed in twenty six patients (20.8%). Majority were minor complications, with the most common observations of transient fever (11.2%), need for blood transfusion (5.6%), pelvic and calyceal perforations were 4%, and all managed conservatively. No death, urosepsis, nor injuries to adjacent organs were recorded. Conclusion Our data demonstrate that PCNL is a safe and effective technique. Most of the intraoperative incidents or complications are minor and easy to solve. However, an adequate training is imperative in order to reduce the associated morbidity.

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Success and Complication Rates in 729 Percutaneous Nephrolithotomies at a Single Centre

Cited by 3 publications

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Delayed Haematuria after Percutaneous Nephrolithotripsy and its Management

Delayed Haematuria after Percutaneous Nephrolithotripsy and its Management

Percutaneous Approaches to the Upper Urinary Tract Collecting System

Percutaneous Nephrolithotomy: Our Initial Experience With 125 Cases

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