Outcomes and Complications of Percutaneous Nephrolithotomy (PCNL) at Al-ribat Urology Center (Omer Sawi Hospital)

Abstract

Mohammed Hammad Jaber Amin, Mustafa Altyeb Ibrahim Magbol, Hussain Mohammed Ahmed, Hassan Ishag Hassn and Sami El Arbab Saeed

Objective: Percutaneous nephrolithotomy generally is safe, effective, and associated with a few but specific complications. However, the definition of complications of PCNL and their management still lacks consensus. We aimed to evaluate the Technique, Outcome, and Complication of percutaneous Nephrolithotomy at Al-ribat Urology Center (Omer Sawi Hospital).

Methods : A prospective, institutional-based cross-sectional study, the study investigated all patients presented to the study area with renal stones The data was collected by a pre-designed questionnaire filled out inside the theater during the surgery and 1-month follow-up by phone calls.

Result: The study assessed the outcome of PCNL among 28 patients. The study found that the mean size of stones recorded was 1.25 cm, and the stones were on the left and right kidneys in 53.6%, and 46.4% respectively. Stones present by a percentage of 10.7%,28.6%, and 53.6% in the upper and lower calyx and pelvis respectively. The stones were rounded in 78.6% and staghorn in 21.4%. the stone was single in 53.6% and multiple in 46.4%. all operations were done under fluoroscopy guidance. Patients were supine in 25% and prone in 75% of the operations. Injury to the surrounding organs did not occur. Mild bleeding occurs in 10.7% of the patients, in which blood transfusion was necessary. Extravasation of fluid occurs in 10.7%. Fever occurs in 42.9%. Most of the patients stay for 1 day postoperatively 57.1%.

Conclusion: This study demonstrated that PCNL is a safe elective, minimally invasive surgical modality with good outcomes and lower incidences of major complications.

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