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Simultaneous bilateral compared with unilateral percutaneous nephrolithotomy
E Holman1, A Munim Khan, I Pásztor
1Department of Urology, Semmelweis Hospital, Kiskunhalas, Hungary.
BJU International
|March 2, 2002
Summary
Simultaneous bilateral percutaneous nephrolithotomy (SBPCNL) offers a cost-effective solution for bilateral kidney stones, proving beneficial and advantageous over separate unilateral procedures.
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Bilateral renal stones pose treatment challenges.
- Sequential unilateral procedures can increase patient burden and healthcare costs.
Purpose of the Study:
- To compare simultaneous bilateral percutaneous nephrolithotomy (SBPCNL) with sequential unilateral PCNL.
- Evaluate key surgical and post-operative variables.
Main Methods:
- Retrospective comparison of 198 patients undergoing SBPCNL across two centers.
- Compared with 300 patients undergoing unilateral PCNL in separate sessions.
- SBPCNL utilized for complex cases requiring multiple ESWL sessions per side.
Main Results:
- Successful bilateral stone clearance in 190/198 SBPCNL patients in one session.
- No significant differences in hospital stay, analgesia, or complications between SBPCNL and unilateral PCNL.
- Mean operative time for SBPCNL was 46 minutes; mean hospital stay was 4.3 days.
Conclusions:
- SBPCNL is a cost-effective and beneficial approach for selected patients with bilateral kidney stones.
- Demonstrates clear advantages over performing separate unilateral PCNL procedures.
- Supports SBPCNL as an efficient treatment option for bilateral nephrolithiasis.