PERCUTANEOUS NEPHROLITHOTOMY: UPPER VERSUS LOWER POLE CALYX PUNCTURE

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Mudassar Saeed Pansota
Mumtaz Rasool
Muhammad Shahzad Saleem
Shafqat Ali Tabassum

Abstract

Objective: To compare the residual stone rate and chest complications of upper versus lower pole calyceal puncture in percutaneous nephrolithotomy (PCNL).

Methodology: Four hundred and seventy patients with single stone in the renal pelvis, of either gender were recruited in the study. Patients with multiple stones, staghorn stone, pelvic kidney, calyceal stones and pelviureteric junction obstruction (PUJO) were excluded. Selected patients were divided into two groups randomly i.e. Group A (upper pole calyx) & Group B (lower pole calyx) by using lottery method. Patients remained under indoor care for a minimum of 48 hours after surgery and were evaluated for residual stone and chest complications.

Results: Mean age was 33.44 ±7.01 years. Out of 470 patients, 290 (61.70%) were men and 180 (38.30%) were women with men to women ratio of 1.6:1. The residual stone rate was 15.32% for the upper pole PCNL and 26.81% for lower pole PCNL. Chest complication rate was seen in 2.13% and 5.96% for the upper and lower pole PCNL respectively.

Conclusions: This study concluded that PCNL through upper pole calyx has better outcome than lower pole calyx PCNL.

 

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How to Cite
1.
Saeed Pansota M, Rasool M, Shahzad Saleem M, Ali Tabassum S. PERCUTANEOUS NEPHROLITHOTOMY: UPPER VERSUS LOWER POLE CALYX PUNCTURE. J Postgrad Med Inst [Internet]. 2020 Mar. 31 [cited 2024 Mar. 28];33(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2408
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Original Article
Author Biographies

Mudassar Saeed Pansota, Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Senior Registrar, Department of Urology & Renal Transplantation, Bahawal Victoria Hospital, Bahawalpur

Mumtaz Rasool, Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Associate Professor of Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Muhammad Shahzad Saleem, Department of Urology and Renal Transplantation,Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Senior Registrar, Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Shafqat Ali Tabassum, Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur

Head & Professor of Department of Urology and Renal Transplantation, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur