PERCUTANEOUS NEPHROLITHOTOMY WITH AND WITHOUT RETROGRADE PYELOGRAPHY: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

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TABIBI A.; AKHAVIZADEGAN H.; NOURI MAHDAVI KIA; NAJAFI SEMNANI M.; NIROUMAND A.R.; KARBAKHSH DAVARI M.

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Journal: UROLOGY JOURNAL Year:2005 | Volume:2 | Issue:3 Page(s): 132-136

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Title

PERCUTANEOUS NEPHROLITHOTOMY WITH AND WITHOUT RETROGRADE PYELOGRAPHY: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

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Keywords

PERCUTANEOUS NEPHROLITHOTOMY

RETROGRADE PYELOGRAPHY

KIDNEY CALCULI

Abstract

Introduction: Since the introduction of PERCUTANEOUS NEPHROLITHOTOMY (PNL), many modifications to entering the pyelocalyceal system have been made. One alternative is to insert a needle pointed to an opaque stone as a landmark. The aim of this study was to compare the outcomes of managing KIDNEY CALCULI by PNL with and without RETROGRADE PYELOGRAPHY. Materials and Methods: In this randomized controlled trial, 55 candidates for PNL with a single opaque kidney calculus in the calyx alone, the pelvis alone, or both the calyx and the pelvis were assigned into 2 groups. Twenty-seven patients underwent PNL with a ureteral catheter, and 28 patients underwent PNL without a ureteral catheter. Clinical outcomes were compared between the 2 groups using plain radiographs taken on the first day after the procedure.Results: Patients had similar distributions regarding sex, age, operative time, hospital stay, past surgical history on the kidneys, and stone size. There was a significantly greater decrease in postoperative hemoglobin level in patients having PNL with a ureteral catheter (P < .001) than in those having the procedure without a ureteral catheter. No differences were seen among patients in the 2 groups in terms of stone-free rate, and number of patients with insignificant residue, and those needing extracorporeal shock wave lithotripsy, a second PNL procedure, or transurethral lithotripsy.Conclusions: PERCUTANEOUS NEPHROLITHOTOMY without ureteral catheterization has specific benefits: urine leakage is lower and there is no need to perform cystoscopy. Patients with a single kidney calculus are good candidates for PNL without previous ureteral catheter insertion.

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APA: Copy

TABIBI, A., AKHAVIZADEGAN, H., NOURI MAHDAVI, KIA, NAJAFI SEMNANI, M., NIROUMAND, A.R., & KARBAKHSH DAVARI, M.. (2005). PERCUTANEOUS NEPHROLITHOTOMY WITH AND WITHOUT RETROGRADE PYELOGRAPHY: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL . UROLOGY JOURNAL, 2(3), 132-136. SID. https://sid.ir/paper/270686/en

Vancouver: Copy

TABIBI A., AKHAVIZADEGAN H., NOURI MAHDAVI KIA, NAJAFI SEMNANI M., NIROUMAND A.R., KARBAKHSH DAVARI M.. PERCUTANEOUS NEPHROLITHOTOMY WITH AND WITHOUT RETROGRADE PYELOGRAPHY: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL . UROLOGY JOURNAL[Internet]. 2005;2(3):132-136. Available from: https://sid.ir/paper/270686/en

IEEE: Copy

A. TABIBI, H. AKHAVIZADEGAN, KIA NOURI MAHDAVI, M. NAJAFI SEMNANI, A.R. NIROUMAND, and M. KARBAKHSH DAVARI, “PERCUTANEOUS NEPHROLITHOTOMY WITH AND WITHOUT RETROGRADE PYELOGRAPHY: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL ,” UROLOGY JOURNAL, vol. 2, no. 3, pp. 132–136, 2005, [Online]. Available: https://sid.ir/paper/270686/en

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