Percutaneous Nephrolthotomy (PCNL)

Abstract

Background: SIMS/Services Hospital Urology department presented its initial experience of
Percutaneous Nephrolithotomy (PCNL) with promising results.
Aim: To assess the efficacy and safety of PCNLin the management of Renal stones.
Methods: Prospective study of 40 patients who underwent PCNL. Procedure performed in
General Anasthesia. Placement of ureteric catheter in Lithotomy position to visualize the
collecting system. Ureteric catheter and Foley catheter retained in a sterilized bag. Patient
shifted to prone position with C-Arm at 0°. Nephrostomy needle placed over desired calyx and
tract dilated with metallic dilators. Stone crushed with swiss lithoclast and fragments removed
with stone graspers. Foley catheter placed at the end of procedure percutaneously. X-Ray KUB
done post operatively and both Foley and ureter removed subsequently.
Results: In total 40 patient 27 (67.5%) male and 13 (32.5%) female the success rate with PCNL
as monotherapy was 72.5%. It was 82.5% when combined with ESWL.
Conclusion: Percutaneous Nephrolithotomy (PCNL) is effective monotherapy for renal stones
and gives excellent results when combined with ESWL