Related Experiment Video
Updated: Mar 9, 2026
03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
3.1K
Factors predicting infectious complications following percutaneous nephrolithotomy
Kuldeep Sharma1, Satya Narayan Sankhwar1, Apul Goel1
1Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India.
Urology Annals
|January 7, 2017
Summary
Infectious complications after percutaneous nephrolithotomy (PCNL) are linked to patient factors like renal failure and diabetes, and procedure details such as multiple punctures and longer surgery times.
Area of Science:
- Urology
- Nephrology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Infectious complications can arise post-PCNL, impacting patient recovery and outcomes.
Purpose of the Study:
- To identify predictors of infectious complications following PCNL.
- To analyze patient, stone, renal, and procedure-related factors associated with post-PCNL infections.
Main Methods:
- Prospective study of 332 patients undergoing PCNL for renal or upper ureteric calculi.
- Infectious complications defined as febrile urinary tract infection and septicemia.
- Comparison of factors between patients who developed infectious complications (Group A) and those who did not (Group B).
Main Results:
- No significant correlation found with age, sex, or BMI.
- Higher incidence of infectious complications in patients with renal failure, diabetes mellitus, and prior PCN tube placement.
- Factors like severe hydronephrosis, larger stone surface area, multiple punctures, and longer surgery duration were significantly associated with complications.
Conclusions:
- Predictors of post-PCNL infectious complications include renal failure, diabetes mellitus, preoperative PCN placement, staghorn calculi, severe hydronephrosis, multiple punctures, and prolonged surgery duration.
- These findings can help stratify risk and guide preventative strategies.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
2.0K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
2.0K
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
1.3K
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
1.3K
01:27Acute Pyelonephritis I: Introduction
926
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
926
01:25Urinary Tract Calculi VI: Surgical Management
714
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
714
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
434
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
434
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
571
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
571