Whether retrograde pyelography mandatory for percutaneous nephrolithotomy: a randomized clinical trial
DOI:
https://doi.org/10.18203/2320-6012.ijrms20163314Keywords:
Percutaneous nephrolithotomy, Retrograde pyelography, Ureteric catheter, PCNL, RGPAbstract
Background: Percutaneous nephrolithotomy (PCNL) technique was introduced a new era in the management of renal calculi, and day by day many changes occurred regarding the puncture points to an opaque stone as a guided landmark. We aim at comparing the outcome of many renal calculi with or without retrograde pyelography (RGP).
Methods: In a randomized clinical trial 110 cases with opaque renal calculi for PCNL with stone in the calyces, in the pelvis, both in the calyx and pelvis, simultaneously, included in 2 year study. They were randomized in 2 groups, non RGP (56) and RGP (54), called interventional and control group respectively.
Results: 2 groups are analyzed according to gender, age, duration of operation and hospital stay, past history of any surgical intervention on kidney and stone size. Outcome was evaluated with plain x-ray and USG abdomen. No differences in outcome were observed in between the two groups.
Conclusions: Present findings conclude that there is no difference in major clinical outcome between the 2 groups. So we can say RGP is not mandatory for selected patients while doing PCNL
Metrics
References
Biyabani SR, Liew L, Esuvaranathan K, Li MK. Evaluation of the current technique of percutaneous nephrolithotomy in a tertiary care urology setting in Singapore. BJU Int. 2002;90(Suppl 2):133.
Delavierre D, Fournier G, Mangin P. Percutaneous drainage nephrostomy guided by ultrasound. Apropos of 80 adult cases. J Urol (Paris). 1989;95:319-29.
Inglis JA, Tolley DA, Law J. Radiation safety during percutaneous nephrolithotomy. Br J Urol. 1989;63:591-3.
Karami H, Gholamrezaie HR. Totally tubeless percutaneous nephrolithotomy in selected patients. J Endourol. 2004;18:475-6.
Kim SC, Kuo RL, Lingeman JE. Percutaneous nephrolithotomy: an update. Curr Opin Urol. 2003;13:235-41.
Matlaga BR, Shah OD, Zagoria RJ, Dyer RB, Streem SB, Assimos DG. Computerized tomography guided access for percutaneous nephrostolithotomy. Urol. 2003;170:45-7
McDougalll EM, Ewangelos NL, Dinlenc CZ, Smith AD. Percutaneous approach to the upper urinary tract. In: Walsh PC, ReticA B, Vaughan ED, Wein AJ. Campbells Urolgy 8th (ed.). Philadelphia, Saunders publication. 2002;98:3323-4.
Montanari E, Serrago M, Esposito N. Ultrasoundfluoroscopy guided access to the intrarenal excretory system. Ann Urol (Paris). 1999;33:168-81.
Patel U, Hussain FF. Percutaneous nephrostomy of nondilated renal collecting systems with fluoroscopic guidance: technique and results. Radiology. 2004;233:226-33.
Rao PN, Faulkner K, Sweeney JK, Asbury DL, Sambrook P, Blacklock NJ. Radiation dose to patient and staff during percutaneous nephrostolithotomy. Br J Urol. 1987;59:508-12.
Roth M. Experiences with sonographically guided percutaneous nephrostomy. Z Urol Nephrol. 1986;79:147-54.
Sampaio FJ, Aragao AH. Anatomical relationship between the renal venous arrangement and the kidney collecting system. J Urol. 1990;144:1089-93.
Varkarakis J, Su LM, Hsu TH: Air embolism from pneumopyelography. J Urol. 2003;169:267.
Downloads
Published
How to Cite
Issue
Section
