A Study on outcome of Percutaneous Nephrolithotomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Background:-The prevalence of urolithiasis is approximately 2 to 3 percent in the general population, and the estimated lifetime risk of developing a kidney stone is about 12%. Over time, renal stone management has undergone a dramatic change, beginning from the era of open pyelolithotomy, to the first percutaneous lithotomy (PCNL) in 1976. Material and methods:- This study was conducted in the Department of Urology, Regional Institute of Medical sciences, a tertiary care center in Imphal, Manipur, during the period November 2015 to October 2017 after taking ethical committee approval. Fifty patients who attended the Urology Department and admitted for percutaneous nephrolithotomy during the study period were included in the study. The outcome and complications of these patients who underwent percutaneous nephrolithotomy were studied. Results:- Our study showed that Guy’s stone score grade 1 has stone clearance rate of 87.5%, grade2-87.5%, grade 3- 68.18% and grade 4- 25 (P-value being 0.04). This correlation between Guy’s Stone score and stone free rate is statistically significant (P-value=0.04).In this study, patient with GSS 1 has 3% of Clavien-Dindo grade1, GSS 2(grade1-2%, grade2-6%), GSS 3(grade1-2%, grade2-14%, grade3a-2%), GSS 4(grade2-4%, grade 3a-2%).(P-value is 0.037). Conclusion:- It may be concluded that as the Guy’s stone score increases, the rate of stone clearance decreases, and also the grade of complications increases.
Authors and Affiliations
Khumukcham Somarendra, Maharabam Mahele, Ashish Kumar, Sumit Gupta, Akoijam Kaku Singh
Keywords
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