An institutional study comparing tubeless and standard percutaneous nephrolithotomy

Author: 
Varun Chauhan, S.Manimaran and Vijayakumar

Background: The incidence of kidney stone is rising affecting about 9-10 % of the population & it recurs in about 50% of those patients. PCNL is the cornerstone modality in treating renal calculi.
Aim: This research is carried out to find out the efficacity, workability and safeness of tubeless PCNL vs. conventional PCNL.
Methods: This research work was conducted in the Department of Urology, Madurai Medical College over a length of 365 days from March 2022-Febuarary 2023. During this era 10 patients underwent tubeless PCNL for renal stones (group 1) & 10 underwent standard PCNL (group 2).
Results: About 50% of the patients fell in the age group of 46-60 years. Flank pain (90%) was the commonest chief complaint. Total stone clearance was achieved in 70% of the patients after tubeless PCNL. Post surgery blood transfusion was needed in 10% of the cases. The average hospital-stay post procedure was 2 days in group 1 while it was 3 days in 2nd group. Commonest post procedure complication was fever.
Conclusions: Tubeless PCNL is a totally reliable and concrete remedy for kidney stones with grade 1 or 2 Guy’s rating; due to its lesser price, short surgical time, least blood transfusion need, analgesia and capability of the sufferers to regain their regular lifestyle activities faster make tubeless PCNL the desired modality these days.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2023.2386.1516
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