PT  - JOURNAL ARTICLE
AU  - Khaled A. Telha
AU  - Twfik H. Albaadani
AU  - Khaled M. Alkohlany
AU  - Abdulelah O. Al-Adimy
AU  - Ibrahim H. Alnono
TI  - Tubeless percutaneous nephrolithotomy with double-J stent compared with external ureteral catheter to decrease postoperative complications
DP  - 2010 Oct 01
TA  - Saudi Medical Journal
PG  - 1137--1140
VI  - 31
IP  - 10
4099  - http://smj.org.sa/content/31/10/1137.short
4100  - http://smj.org.sa/content/31/10/1137.full
SO  - Saudi Med J2010 Oct 01; 31
AB  - OBJECTIVE: To compare the efficacy of tubeless percutaneous nephrolithotomy (PCNL) using double-J stent and tubeless PCNL with external ureteral catheter in decreasing post-PCNL complications.METHODS: This prospective randomized comparative study includes 148 cases with kidney stones. They were operated by either tubeless PCNL with double-J stent (Group 1) or tubeless with ureteric catheter (Group 2). Group 1 consists of 72 cases (54 males and 18 females). Group 2 consists of 76 patients (56 males and 20 females). Both groups were compared from the point of post-PCNL complications without using tissue sealants or tract cauterization. The study was carried out in the Department of Urology, Al-Thawrah Modern General and Ibn-Seena Hospital, Sana'a, Yemen between January 2008 and January 2010.RESULTS: In Group 1, the post-PCNL complications were leakage of urine in 4 (5.6%), hematuria >48 hours in 6 (8.3%), fever in 2 (2.8%), and the length of hospital stay was 36-48 hours. In Group 2, the post-PCNL complications were leakage of urine in 13 (17.1%), hematuria in 9 (11.8%), 5 (6.6%) has fever, colonic injury in one, and fluid collections in 8 (10.5%). There was significant difference in urine leakage (p=0.028).CONCLUSION: Tubeless PCNL with double-J stent was the best method to decrease the complications and length of hospital stay.