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A case of micro-percutaneous nephrolithotomy with macro complication.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Nephrology

Background:

  • Percutaneous nephrolithotomy (PCNL) is standard for complex kidney stones.
  • Micro-percutaneous nephrolithotomy (microperc) is a newer technique with reported lower bleeding rates.
  • Kidney stone management requires effective and safe treatment options.

Purpose of the Study:

  • To report a case of delayed bleeding after microperc.
  • To discuss potential complications of microperc.
  • To contribute to the understanding of microperc safety.

Main Methods:

  • A microperc procedure was performed for a left kidney stone.
  • The patient developed a bleeding complication 15 days post-procedure.
  • Management included blood transfusion.

Main Results:

  • A significant bleeding complication occurred 15 days after microperc.
  • The complication resulted in gross hematuria and bladder urine retention.
  • The patient required transfusion of 5 units of whole blood.

Conclusions:

  • While microperc is generally associated with less bleeding, delayed complications can occur.
  • Vigilance for bleeding complications is necessary even after minimally invasive procedures.
  • Further research into the long-term safety profile of microperc is warranted.