Percutaneous nephrolithotomy. A study of 171 patients
British Journal of Urology
|December 1, 1986
Summary
Percutaneous nephrolithotomy effectively removed renal calculi in 171 patients, demonstrating a low complication rate. This minimally invasive kidney stone treatment is safe and feasible with experience.
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Renal calculi (kidney stones) pose a significant health challenge.
- Percutaneous nephrolithotomy (PCNL) is an established treatment for kidney stones.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous nephrolithotomy for renal calculi.
- To assess the complication rate associated with PCNL.
Main Methods:
- Retrospective analysis of 181 patients undergoing PCNL over 2.5 years.
- Focus on successful stone removal and complication rates.
Main Results:
- Successful removal of renal calculi in 171 out of 181 cases (94.5%).
- Low overall complication rate observed.
- Limited intrarenal manipulation and irrigation time is recommended.
Conclusions:
- Percutaneous nephrolithotomy is a safe and effective procedure for treating renal calculi.
- The procedure is feasible in centers with adequate experience and minimal facilities.
- Careful technique, including limited intrarenal manipulation, contributes to favorable outcomes.
Related Concept Videos
Acute Pyelonephritis II: Diagnostic Studies and Management
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...
Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi VI: Surgical Management
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...
Imaging Studies I: Kidney, Ureter, and Bladder Studies
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...


