Outcome of Calyceal Access with or Without Retrograde Pyelography in Percutaneous Nephrolithotomy

Authors

  • Mohammad Habibur Rahman Assistant Registrar, Department of Urology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Sharif Md Shahadat Ali Khan Medical Officer, Department of Urology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Anup Kumar Roy Assistant Registrar (Transplant), National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Shariful Islam Khan Medical Officer, Department of Urology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • AHM Mostofa Kamal Assistant Registrar, Department of Urology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Md Moynul Haque Choudhury Assistant professor, Department of Urology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Md Safiul Alam Babul Assistant Professor & Resident Surgeon, Department of Urology, Dhaka Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bju.v24i1.59450

Keywords:

Nephrolithotomy, Calyceal Access

Abstract

Background: Percutaneous nephrolithotomy (PCNL) has gradually evolved to be one of the main endourologic treatment options for managing renal stone. For successful enctry into pelvicalyceal system can be obtained by fluoroscopy, ultrasonography and sometimes computed tomography (CT-guided) after RGP, but many are done without RGP. In this study, our objective was to compare the clinical outcomes of renal calculi management by PCNL with and without retrograde pyelography.

Method: This quasi experimental study conducted on 60 cases with opaque renal calculi in lower, middle and upper calyx and lower calyx with renal pelvis. They were grouped into 2 groups purposely, one with RGP (30 patients) while other without RGP (30 patients).

Result: We found no statistically significant difference between RGP and non RGP group in terms of duration of surgery (71.68 ±12.95 minutes vs 78.84±15.56 minutes), duration of radiation exposure (3.55± 1.34 min vs 3.74± 0.52 minutes) & hospital stay (3.0± 0.8 vs 2.6 ±1.0 days). Around 93.33 percent of the patients in the RGP group (n=28) were stone free, whereas in the Non-RGP group, 90% percent of the patients (n=27) were stone free.

Conclusion: We can avoid RGP during PCNL in selected cases for pelvicalyceal access in the sight of no significant differences in duration of surgery, duration of radiation exposure, Hospital stay & complications in PCNL either with or without RGP.

Bangladesh J. Urol. 2021; 24(1): 87-89

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Published

2022-08-07

How to Cite

Rahman, M. H. ., Ali Khan, S. M. S. ., Roy, A. K. ., Khan, S. I. ., Kamal, A. M. ., Choudhury, M. M. H. ., & Babul, M. S. A. . (2022). Outcome of Calyceal Access with or Without Retrograde Pyelography in Percutaneous Nephrolithotomy. Bangladesh Journal of Urology, 24(1), 87–89. https://doi.org/10.3329/bju.v24i1.59450

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Original Articles