Abstract
Background: PCNL is standard surgical treatment for renal stone > 2.0 cm and stone resistant to Extracorporeal Shock Wave Lithotripsy. This study was conducted to evaluate the outcome of percutaneous nephrolithotomy in renal anomalies.
Methods: This cross sectional study was conducted at The Kidney Center postgraduate training institute
Karachi from January 2010 to June 2017, comprised of 60 patients of stone size (median, IQR) 2.75,1.2. Percutaneous nephrolithotomy was done under general anesthesia; intra operative flouroscopy was done for
stone clearance. Post-operative x-ray KUB was done to verify the clearance of stone.
Results: Out of the 60 patients, most patients had horseshoe kidney 35 (58.3%) with right sided renal stone
and majority of the stones are located in pelvis 37 (61.7%). 48 (80.0%) patients required nephrostomy while
only 24 (40%) required Double J Stent insertion. In 42 (70%) patients 100% clearance was achieved and only
20 (33.3%) patients needed secondary procedures. Double J Stent insertion was done in both types of renal
abnormality. In case of 100% clearance Double J Stent was inserted in 3 (33.3%) patients with malrotation
while 7 (46.7%) horseshoe kidneys required Double J Stent insertion.
Conclusion: Percutaneous nephrolithotomy is a safe treatment option in renal anomalies patients with renal
stones.
Shariq Anis Khan, Salman El Khalid, Suneel Kumar, Fouzia Naeem Effendi, Adnan Siddiq Awan, Muhammad Hammad Ali Mithani. (2019) Outcome Of Percutaneous Nephrolithotomy In Renal Anomalies: Single Center Experience, The Pakistan Journal of Medicine and Dentistry, Volume 8, Issue-1.
-
Views
513 -
Downloads
44
Article Details
Volume
Issue
Type
Language
