Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
Mohammed, M., Jones, A., Kuwaijo, N., Al shareef, J., Salman, I., Soliman, S. (2021). Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy. EKB Journal Management System, 3(1), 962-966. doi: 10.21608/ijma.2020.29998.1125
Mohammed Mohammed; Andrew Jones; Nabeel Kuwaijo; Jalal Al shareef; Ibrahim Salman; Shady Soliman. "Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy". EKB Journal Management System, 3, 1, 2021, 962-966. doi: 10.21608/ijma.2020.29998.1125
Mohammed, M., Jones, A., Kuwaijo, N., Al shareef, J., Salman, I., Soliman, S. (2021). 'Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy', EKB Journal Management System, 3(1), pp. 962-966. doi: 10.21608/ijma.2020.29998.1125
Mohammed, M., Jones, A., Kuwaijo, N., Al shareef, J., Salman, I., Soliman, S. Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy. EKB Journal Management System, 2021; 3(1): 962-966. doi: 10.21608/ijma.2020.29998.1125

Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy

International Journal of Medical Arts
Article 9, Volume 3, Issue 1, January 2021, Page 962-966  XML PDF (1.16 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2020.29998.1125
View on SCiNiTO View on SCiNiTO
Authors
Mohammed Mohammed email 1; Andrew Jones2; Nabeel Kuwaijoorcid 3; Jalal Al shareef4; Ibrahim Salman5; Shady Soliman6
1Al Hada Hospital, Urology Department, Taif University, Saudi Arabia. Mater University Hospital, Urology Department, University Collage Dublin, Ireland.
2Mater University Hospital, Urology department, University college Dublin
3The Galway Clinic - Royal College of Surgeons in Ireland
4Al Hada Hospital, Taif region, Urology Department, Taif University. Saudi Arabia
5Al Hada Hospital, Urology Department, Taif University, Saudi Arabia. Benha University, Egypt
6Al Hada Hospital, Urology Department, Taif university, Saudi Arabia. Urology department, Mansoura University, Egypt
Abstract
Background: Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for large renal calculi. The primary goal of treatment is absolute clearance of stone. The incidence of residual stones after PCNL ranges from 10% to 60% and may be higher in radiolucent stones.
Aim of work: Our objective was to assess the effectiveness of the use of ultrasound during PCNL in patients with radiolucent stones in reducing the incidence of residual fragments postoperatively.
Patients and Methods: This was a single center prospective study over a 6 year period. We identified 86 patients undergoing PCNL with radiolucent stones. Ultrasound was used in conjunction with traditional fluoroscopy to identify residual fragments. Each patient had a first day post-operative computed tomography to assess for residual fragments. The sensitivity of ultrasound with fluoroscopy was compared to clinically or radiologically [CT] detected residual fragments.
Results: Our overall stone clearance rate was 82.6% [as evidenced by postoperative CT]. The sensitivity of intra-operative ultrasound when compared to postoperative CT was 95.8%, specificity 40.0%, the positive predictive value 88.3% and negative predictive value 66.7%
Conclusions: The use of intra-operative ultrasound during PCNL for radiolucent stones may help in reduction of postoperative imaging. However, future studies are recommend.
Keywords
Percutaneous Nephrolithotomy; Radiolucent; Residual fragments; Ultrasound; Stone clearance
Statistics
Article View: 657
PDF Download: 299