PURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients were randomly allocated to two groups: group A, who underwent tubeless PCNL and tract port was packed for 3 to 4 minutes after removing Amplatz sheath, and group B, for whom a 24-F nephrostomy tube was left in place at the end of the procedure. Patients were followed up for 3 months to check if bleeding occurred. RESULTS: The mean operation time was 68 ± 4.3 minutes in group A and 74 ± 5.6 minutes in group B (P = .098). The mean stone size was similar in groups A and B (36.26 ± 5.3 mm versus 35.35 ± 5.85 mm; P = .613). The mean hemoglobin drop was 3.65 ± 1.20 g/dL in group A and 3.13 ± 1.06 g/dL in group B. There was no significant difference between the mean of stone free rate in groups A and B (92.58% ± 5.97 versus 89.60% ± 8.3; P = .210). Patients in group A experienced a significantly less duration of hospitalization than group B (2.42 ± 0.84 days versus 3.70 ± 0.80 days; P < .001). CONCLUSION: In the absence of clear indication, nephrostomy tube insertion after PCNL does not seem to be beneficial, and its removal does not pose patients at any additional risk.
RCT Entities:
PURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients were randomly allocated to two groups: group A, who underwent tubeless PCNL and tract port was packed for 3 to 4 minutes after removing Amplatz sheath, and group B, for whom a 24-F nephrostomy tube was left in place at the end of the procedure. Patients were followed up for 3 months to check if bleeding occurred. RESULTS: The mean operation time was 68 ± 4.3 minutes in group A and 74 ± 5.6 minutes in group B (P = .098). The mean stone size was similar in groups A and B (36.26 ± 5.3 mm versus 35.35 ± 5.85 mm; P = .613). The mean hemoglobin drop was 3.65 ± 1.20 g/dL in group A and 3.13 ± 1.06 g/dL in group B. There was no significant difference between the mean of stone free rate in groups A and B (92.58% ± 5.97 versus 89.60% ± 8.3; P = .210). Patients in group A experienced a significantly less duration of hospitalization than group B (2.42 ± 0.84 days versus 3.70 ± 0.80 days; P < .001). CONCLUSION: In the absence of clear indication, nephrostomy tube insertion after PCNL does not seem to be beneficial, and its removal does not pose patients at any additional risk.
Authors: Firas Azar Khori; Mohannad Mueen Al-Naser; Ashraf Suleiman Al-Majali; Mohammad Abdelfattah Al-Serhan; Awad Bakheet Al-Kaabneh; Abdelhakim Saleh Ni'mate; Ayman Ahmad Al-Qaralleh; Abdullah Muhammad Alrababaah; Samer Gaith Al-Jfout; Nizar Jamal Al-Saidah; Ali Ahmad Al-Asmer; Belal Abdullah Al-Khawaldah; Monther Ata Alemoush; Anees Adel Al-Hjazeen Journal: Pan Afr Med J Date: 2020-08-31
Authors: Luigi Cormio; Gaspar Ibarlucea Gonzalez; David Tolley; Mario Sofer; Ahmet Muslumanoglu; Hans-Christoph Klingler; Jens-Uwe Stolzenburg; Jean de la Rosette Journal: World J Urol Date: 2012-07-01 Impact factor: 4.226
Authors: Vineet Gauhar; Olivier Traxer; Esther García Rojo; Simone Scarcella; Maria Pia Pavia; Vinson Wai-Shun Chan; Eugenio Pretore; Marcelo Langer Wroclawski; Mariela Corrales; Ho Yee Tiong; Ee Jean Lim; Jeremy Yuen-Chun Teoh; Chin-Tiong Heng; Jean de la Rosette; Bhaskar Kuman Somani; Daniele Castellani Journal: Urolithiasis Date: 2022-06-08 Impact factor: 2.861