TITLE:
Outcomes of Percutaneous Nephrolithotomy with or without Nephrostomy Tube: A Comparative Study
AUTHORS:
Mohammad Ibrahim Ali, Prodyut Kumar Saha, Shafiqul Alam Chowdhury, Nahid Kamal, Mostafiger Rahman, Sazzad Hossain, Ripan Debnath, Mohammad Saruar Alam, A. K. M. Shahidur Rahman, Kamrul Islam
KEYWORDS:
Nephrostomy, Percutaneous Nephrolithotomy (PCNL), Renal Stone Disease
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.7 No.3,
March
7,
2019
ABSTRACT: Objectives: To compare the outcomes of Percutaneous Nephrolithotomy (PCNL) with or without nephrostomy tube. Materials & Methods: This prospective comparative study intended to compare the outcomes between PCNL without nephrostomy tube and PCNL with nephrostomy tube. A total of 50 cases of renal stone disease planned for PCNL in Dhaka Medical College Hospital from July 2015 to June 2017, were included in this study according to the statistical calculation. Cases were randomly allocated to group A (PCNL without nephrostomy tube) and group B (PCNL with nephrostomy tube). Each group consisted of 25 patients. The outcome variables were post operative pain, requirement of analgesic, leakage of urine and post operative hospital stay. Data were analyzed and compared by statistical tests. Results: No significant differences were found regarding age (p = 0.95), sex (p = 0.55) and operation time (p = 0.36) between two groups. Post operative pain (p p p p Conclusions: Percutaneous nephrolithotomy without nephrostomy tube is better than percutaneous nephrolithotomy with nephrostomy tube in selective cases. It significantly reduces post operativepain, analgesic requirement and postoperative hospital stay. So percutaneous nephrolithotomy without nephrostomy tube is safe and effective.