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[Hemorrhagic complications of percutaneous interventions for nephrolithiasis]

S V Shkodkin1,2, Yu B Idashkin1,2, V N Dmitriev1,2

  • 1St. Ioasaf Belgorod Regional Hospital, Belgorod, Russia.

Urologiia (Moscow, Russia : 1999)
|November 15, 2017
PubMed

Insights

Hemorrhagic complications are a concern in percutaneous nephrolithotripsy. Arterial hypertension is a key risk factor, and correcting it pre-surgery is advised. Image-guided interventions can manage bleeding.

Area of Science:

  • Urology
  • Nephrology
  • Interventional Radiology

Background:

  • Hemorrhagic complications are a significant challenge in percutaneous urolithiasis interventions.
  • Percutaneous nephrolithotripsy (PCNL) is a common procedure for kidney stone removal.

Purpose of the Study:

  • To investigate the incidence of hemorrhagic complications following percutaneous nephrolithotripsy.
  • To identify risk factors associated with hemorrhagic complications in PCNL.

Main Methods:

  • A comparative analysis of 146 percutaneous nephrolithotripsies was conducted.
  • Patients were divided into a study group (staghorn nephrolithiasis) and a control group.
  • Demographic data, stone characteristics, operative details, and complication rates were analyzed.

Main Results:

  • The incidence of hemorrhagic complications was similar between groups (16-16.9%) and did not exceed Grade II (Clavien-Dindo).
  • Higher body weight and body mass index were noted in the study group.
  • Arterial hypertension was identified as the primary risk factor for hemorrhagic complications.

Conclusions:

  • Correction of arterial hypertension is recommended before percutaneous nephrolithotripsy.
  • Image-guided endovascular interventions are effective for managing ongoing renal bleeding post-PCNL.

Keywords:
bleedingcomplicationstreatmenturolithiasis

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