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Related Experiment Videos

Morphologic and functional changes in the kidney after percutaneous nephrosto-lithotomy.

R G Schiff, W J Lee, M Eshghi

    AJR. American Journal of Roentgenology
    |August 1, 1986
    PubMed
    Summary

    Percutaneous stone extraction can cause kidney damage, but significant renal function changes are rare and linked to clinical complications. Early detection is key for managing potential impacts on kidney morphology and function.

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    Area of Science:

    • Nephrology
    • Urology
    • Medical Imaging

    Background:

    • Kidney stones (calculus disease) affect many patients.
    • Percutaneous stone extraction is a common treatment.
    • Assessing procedure-related kidney damage is crucial.

    Purpose of the Study:

    • To evaluate kidney morphology and function changes after percutaneous stone extraction.
    • To identify potential damage secondary to the procedure.

    Main Methods:

    • Studied 33 patients with unilateral kidney stones.
    • Used excretory urography, nephrostograms, and nephrotomograms for anatomy.
    • Assessed renal function with radionuclide renography pre- and post-procedure.

    Main Results:

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    • Early anatomical changes noted in 6 patients via clinical assessment and nephrostograms.
    • Delayed excretory urography showed abnormalities in only 3 of these patients.
    • Significant renal function decline correlated with clinically detected complications.

    Conclusions:

    • Percutaneous stone extraction may cause early, localized kidney changes.
    • Significant renal functional impairment is uncommon and associated with complications.
    • Monitoring kidney function post-procedure is important, especially in complicated cases.