Whether retrograde pyelography mandatory for percutaneous nephrolithotomy: a randomized clinical trial

Authors

  • Manoj Biswas Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
  • Ankur Mittal Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
  • Rajeev Sarpal Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
  • Shikhar Agrawal Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
  • Ravinder Pal Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand
  • Karamaveer Singh Department of Urology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand

DOI:

https://doi.org/10.18203/2320-6012.ijrms20163314

Keywords:

Percutaneous nephrolithotomy, Retrograde pyelography, Ureteric catheter, PCNL, RGP

Abstract

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

References

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Published

2016-12-19

How to Cite

Biswas, M., Mittal, A., Sarpal, R., Agrawal, S., Pal, R., & Singh, K. (2016). Whether retrograde pyelography mandatory for percutaneous nephrolithotomy: a randomized clinical trial. International Journal of Research in Medical Sciences, 4(10), 4477–4480. https://doi.org/10.18203/2320-6012.ijrms20163314

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Original Research Articles