Urology Annals

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 3  |  Page : 232--237

A randomized study comparing conventional percutaneous nephrolithotomy versus check pyeloscopic percutaneous nephrolithotomy


Rohit Purwar, Vasudevan Thirugnanasambandam, Abdulrazack Mossadeq 
 Department of Urology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India

Correspondence Address:
Dr. Vasudevan Thirugnanasambandam
Department of Urology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry
India

Objective: The objective of this study is to compare the advantages of check-pyeloscopic percutaneous nephrolithotomy (CP-PCNL) over conventional PCNL (C-PCNL) in the management of renal calculi. Materials and Methods: All patients with renal calculi requiring PCNL who attended the department of urology in a tertiary care center from December 2016 to October 2018 were included in the study. The patients were randomized into two groups of 50 each. Each group underwent PCNL in a conventional or check pyeloscopic method, respectively. Results: A total number of complications were more in C-PCNL group comprising of two pelvic tears, 8 infundibular tears, 1 minor urothelial injury, 2 cases of bleeding lasting for more than 24 hours, while in CP-PCNL group, complications were less (comprising of 1 minor urothelial injury and 1 case of infundibular tear). Statistical analysis was used to compare both the groups, and the results were statistically significant (P = 0.027). Conclusion: Check pyeloscopy at the time of PCNL is a safe, effective, and economical technique. This study shows that the complications such as blood loss, urothelial injury, and postoperative pain are less when check pyeloscopy is done during PCNL.


How to cite this article:
Purwar R, Thirugnanasambandam V, Mossadeq A. A randomized study comparing conventional percutaneous nephrolithotomy versus check pyeloscopic percutaneous nephrolithotomy.Urol Ann 2021;13:232-237


How to cite this URL:
Purwar R, Thirugnanasambandam V, Mossadeq A. A randomized study comparing conventional percutaneous nephrolithotomy versus check pyeloscopic percutaneous nephrolithotomy. Urol Ann [serial online] 2021 [cited 2021 Sep 22 ];13:232-237
Available from: https://www.urologyannals.com/article.asp?issn=0974-7796;year=2021;volume=13;issue=3;spage=232;epage=237;aulast=Purwar;type=0