Document Detail


Percutaneous Nephrolithotomy with and without Retrograde Pyelography: Preliminary Results of a Randomized Controlled Trial.
MedLine Citation:
PMID:  17602415     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Since the introduction of percutaneous nephrolithotomy (PNL), many modifications to entering the pyelocalyceal system have been made. One alternative is to insert a needle pointed to an opaque stone as a landmark. The aim of this study was to compare the outcomes of managing kidney calculi by PNL with and without retrograde pyelography. MATERIALS AND METHODS: In this randomized controlled trial, 55 candidates for PNL with a single opaque kidney calculus in the calyx alone, the pelvis alone, or both the calyx and the pelvis were assigned into 2 groups. Twenty-seven patients underwent PNL with a ureteral catheter, and 28 patients underwent PNL without a ureteral catheter. Clinical outcomes were compared between the 2 groups using plain radiographs taken on the first day after the procedure. RESULTS: Patients had similar distributions regarding sex, age, operative time, hospital stay, past surgical history on the kidneys, and stone size. There was a significantly greater decrease in postoperative hemoglobin level in patients having PNL with a ureteral catheter (P < .001) than in those having the procedure without a ureteral catheter. No differences were seen among patients in the 2 groups in terms of stone-free rate, and number of patients with insignificant residue, and those needing extracorporeal shock wave lithotripsy, a second PNL procedure, or transurethral lithotripsy. CONCLUSION: Percutaneous nephrolithotomy without ureteral catheterization has specific benefits: urine leakage is lower and there is no need to perform cystoscopy. Patients with a single kidney calculus are good candidates for PNL without previous ureteral catheter insertion.
Authors:
Ali Tabibi; Hamed Akhavizadegan; Kia Nouri Mahdavi; Mohammad Najafi Semnani; Mojgan Karbakhsh Davari; Ali Reza Niroomand
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology journal     Volume:  2     ISSN:  1735-1308     ISO Abbreviation:  -     Publication Date:  2005  
Date Detail:
Created Date:  2007-07-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101286676     Medline TA:  Urol J     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  132-6     Citation Subset:  -    
Affiliation:
Department of Urology, Shaheed Labbafinejad Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
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