Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
Background: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. Materials and Methods: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolitho...
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Advanced Biomedical Research |
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Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2017;volume=6;issue=1;spage=35;epage=35;aulast=Sichani |
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author | Mehrdad Mohammadi Sichani Masih Babaeian Saeid Haghdani Farshid Alizadeh Hamid Mazdak Mazaher Hadi Mohammadhatef Khorrami |
author_facet | Mehrdad Mohammadi Sichani Masih Babaeian Saeid Haghdani Farshid Alizadeh Hamid Mazdak Mazaher Hadi Mohammadhatef Khorrami |
author_sort | Mehrdad Mohammadi Sichani |
collection | DOAJ |
description | Background: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. Materials and Methods: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolithotomy (PCNL) procedures were included in this study. The patients were randomly assigned into two groups, Group A (n = 100) did not undergo the antegrade nephrostography on postoperative day 2 and the patients were discharged keeping the nephrostomy until postoperative day 3, while in Group B (n = 100) the nephrostomy tube was removed on postoperative day 3 after antegrade nephrostography demonstrating ureteral drainage down to the bladder. Postoperative complications in both groups were recorded and compared between two groups. Results: A total of 200 patients were treated with standard PCNL. The persistent leakage of urine after removal of the nephrostomy tube was encountered in 5 (5.0%) and 3 (3%) of patients in Groups 1 and 2, respectively. Urinary leakage was resolved with conservative management in 3 and 2 patients of Groups 1 and 2, respectively, but a double-J stent was inserted in 2 and 1 patients in each group because of persistent leakage of urine more than 1-week. The two groups show comparable complications such as prolonged urinary leakage which managed in a similar manner, however, postoperative hospital stay was lesser in Group 1. Conclusion: Our results revealed postoperative performing nephrostogramy before tube removal changed the planning of complications such as prolonged urinary leakage and could be omitted in cases. |
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issn | 2277-9175 |
language | English |
last_indexed | 2024-12-12T06:56:54Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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spelling | doaj.art-5ef50f19676f4209be296d32eee02acb2022-12-22T00:33:56ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752017-01-0161353510.4103/2277-9175.203160Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous NephrolithotomyMehrdad Mohammadi SichaniMasih BabaeianSaeid HaghdaniFarshid AlizadehHamid MazdakMazaher HadiMohammadhatef KhorramiBackground: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. Materials and Methods: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolithotomy (PCNL) procedures were included in this study. The patients were randomly assigned into two groups, Group A (n = 100) did not undergo the antegrade nephrostography on postoperative day 2 and the patients were discharged keeping the nephrostomy until postoperative day 3, while in Group B (n = 100) the nephrostomy tube was removed on postoperative day 3 after antegrade nephrostography demonstrating ureteral drainage down to the bladder. Postoperative complications in both groups were recorded and compared between two groups. Results: A total of 200 patients were treated with standard PCNL. The persistent leakage of urine after removal of the nephrostomy tube was encountered in 5 (5.0%) and 3 (3%) of patients in Groups 1 and 2, respectively. Urinary leakage was resolved with conservative management in 3 and 2 patients of Groups 1 and 2, respectively, but a double-J stent was inserted in 2 and 1 patients in each group because of persistent leakage of urine more than 1-week. The two groups show comparable complications such as prolonged urinary leakage which managed in a similar manner, however, postoperative hospital stay was lesser in Group 1. Conclusion: Our results revealed postoperative performing nephrostogramy before tube removal changed the planning of complications such as prolonged urinary leakage and could be omitted in cases.http://www.advbiores.net/article.asp?issn=2277-9175;year=2017;volume=6;issue=1;spage=35;epage=35;aulast=SichaniNephrostographynephrostomy removalpercutaneous nephrolithotomy |
spellingShingle | Mehrdad Mohammadi Sichani Masih Babaeian Saeid Haghdani Farshid Alizadeh Hamid Mazdak Mazaher Hadi Mohammadhatef Khorrami Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy Advanced Biomedical Research Nephrostography nephrostomy removal percutaneous nephrolithotomy |
title | Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy |
title_full | Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy |
title_fullStr | Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy |
title_full_unstemmed | Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy |
title_short | Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy |
title_sort | is it necessary to perform nephrostography before tube removal after percutaneous nephrolithotomy |
topic | Nephrostography nephrostomy removal percutaneous nephrolithotomy |
url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2017;volume=6;issue=1;spage=35;epage=35;aulast=Sichani |
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