Related Experiment Video
Updated: May 10, 2026
03:53
Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
Published on: March 15, 2024
Focal neuropathies following percutaneous nephrolithotomy (PCNL)--preliminary study
Hamidreza Nasseh1, Farshid Pourreza, Alia Saberi
1Urology Research Center, School of Medicine, Guilan University of Medical Sciences, Iran.
German Medical Science : GMS E-Journal
|June 27, 2013
Summary
Prolonged percutaneous nephrolithotomy (PCNL) surgery and significant hemoglobin drop increase the risk of sensory neurological complications. No motor complications were observed in this study.
Area of Science:
- Neurosurgery
- Urology
- Nephrology
Background:
- Postoperative neurological complications are a significant concern in pelvic and renal surgery.
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Understanding the risks associated with PCNL is crucial for patient safety.
Purpose of the Study:
- To determine the prevalence of neurological complications after PCNL.
- To identify risk factors associated with these complications.
Main Methods:
- A cross-sectional study involving 68 PCNL cases.
- Data collection included demographic and surgical reports.
- Pre- and post-operative neurological examinations were performed.
Main Results:
- Sensory neurological complications occurred in 12.31% of patients, primarily involving the T12 dermatome.
- Prolonged surgery duration and greater hemoglobin drop post-surgery correlated significantly with sensory complications.
- No correlation was found with age, BMI, diabetes, hypertension, or surgical approach.
Conclusions:
- Prolonged PCNL duration and significant hemoglobin drop are potential risk factors for neuropathy.
- Further prospective studies with advanced imaging are recommended for better understanding.