Predictive Factors of Complications of PNL in Solitary Kidney: A Prospective Study. | ||||
| Sohag Medical Journal | ||||
| Article 18, Volume 24, Issue 2, April 2020, Page 107-117 PDF (815.37 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2020.33654.1169 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Sabri Mahmoud   1; Mohammed Dyaa S.saleem2; Mohammed saber khalaf3; Elnisr Rashid Mohamed3
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| 1Urology department, Faculty of medicine, Sohag university, Sohag, Egypt | ||||
| 2urology department ,Sohag faculty of medicine,Sohag University,Sohag,Egypt | ||||
| 3urology department,Sohag faculty of medicine,Sohag university,Sohag,Egypt | ||||
| Abstract | ||||
| Objectives: To analyze factors that can impact the intraoperative and postoperative complications and bleeding after percutaneous nephrolithotomy (PNL) in patients with a solitary kidney. Material and Methods: A prospective hospital-based study that was carried out at the Urology Department, Sohag University Hospital from June 2017 to June 2019. All patients with renal calculi in a solitary kidney were recruited and underwent PNL. Results: 150 patients were enrolled in this study. 93 (62%) patients were males while 57 (38%) patients were females. Initial SFR was achieved in 129 (86%) patients while residual fragments were reported in 21 (14%) patients. 39 (26%) patients had postoperative complications. On univariate analysis, the rate of complications was associated with the complexity of the stones, acute dilatation of the tract, and operative time (P-value = 0.048, 0.004 & 0.023 respectively). On the other hand; there was an association between the number of the accessed tracts and the rate of bleeding and blood transfusion (P-value = 0.008). Conclusion: PNL in solitary kidneys is a challenging procedure; however high SFRs can be achieved with a low rate of significant complications. The complexity of the stones, acute dilatation of the tract, and prolonged operative time are associated with more complications. Multiple tracts have a significant effect on intraoperative bleeding. PNL should be considered by urologists as an effective therapeutic choice for patients presenting with large burden stone disease in a solitary kidney. | ||||
| Keywords | ||||
| Complications; Solitary kidney; PNL | ||||
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