Complications Of Percutaneous Nephrolithotripsy Versus Retrograde Intrarenal Surgery for Patients with Pelvic Renal Stones | ||
| The Egyptian Journal of Hospital Medicine | ||
| Volume 100, Issue 1, July 2025, Pages 4185-4191 PDF (427.25 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2025.414614.1821 | ||
| Author | ||
| bassem metwally* | ||
| helwan, egypt | ||
| Abstract | ||
| Background: Renal stones are a global health issue, affecting nearly 12% of the population. With the evolution of minimally invasive urological procedures, percutaneous nephrolithotripsy (PCNL) and retrograde intrarenal surgery (RIRS) have become the primary treatments for managing renal stones. However, each procedure carries distinct complications, particularly in challenging patient groups such as those with obesity. Aim: This study aimed to compare the complication rates of PCNL versus RIRS in the management of unilateral pelvic renal stones. Cases and methods: This prospective randomised study was conducted on 228 patients with unilateral pelvic renal stones. Patients were divided into two equal groups: Group A underwent PCNL (n=112) and group B underwent RIRS (n=116). Intraoperative and postoperative complications, operative time, hospital stay, and analgesic requirements were evaluated. Results: PCNL demonstrated a significantly higher rate of bleeding (6.3% vs 0%), increased postoperative pain requiring NSAIDs (100% vs 22.4%), and longer hospitalisation (3.27 vs 1.12 days). RIRS had fewer severe complications but required significantly longer operative times (120.6 vs 82.5 minutes). Conclusion: PCNL is associated with increased morbidity. RIRS presented fewer complications and may be preferable in high-risk individuals. | ||
| Keywords | ||
| Renal stones; PCNL; RIRS; Complications; Stone surgery | ||
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