Related Experiment Videos
Percutaneous nephrolithotomy and the solitary kidney
D J Jones1, M J Kellett, J E Wickham
1Institute of Urology, London, England.
The Journal of Urology
|March 1, 1991
Summary
Percutaneous nephrolithotomy is a safe and effective treatment for kidney stones in solitary kidneys. This procedure offers a high stone-free rate, even for complex cases with impaired renal function.
Area of Science:
- Urology
- Nephrology
Background:
- Solitary kidney stones present unique treatment challenges.
- Many patients have comorbidities, including impaired renal function.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) in patients with stones in a solitary kidney.
- To assess stone-free rates and complications associated with PCNL in this patient population.
Main Methods:
- Retrospective review of 53 patients with solitary kidney stones treated with PCNL.
- Analysis of patient demographics, stone characteristics, comorbidities, and surgical outcomes.
Main Results:
- PCNL achieved a 77.3% stone-free rate alone, increasing to 86.8% with adjunctive therapies.
- Complications occurred in 18.8% of patients, including sepsis and transfusion.
- Only one patient experienced long-term renal function decline.
Conclusions:
- PCNL is a safe and effective option for managing complex kidney stones in solitary kidneys.
- The procedure can be particularly beneficial for patients with impaired renal function, potentially improving outcomes for subsequent treatments.