RT Journal Article
SR Electronic
T1 Tubeless percutaneous nephrolithotomy with double-J stent compared with external ureteral catheter to decrease postoperative complications
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1137
OP 1140
VO 31
IS 10
A1 Telha, Khaled A.
A1 Albaadani, Twfik H.
A1 Alkohlany, Khaled M.
A1 Al-Adimy, Abdulelah O.
A1 Alnono, Ibrahim H.
YR 2010
UL http://smj.org.sa/content/31/10/1137.abstract
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.