12. Complications of Ultrasound Guided Percutaneous Nephrostomy in Adults: A retrospective Study
Akhtar Nawaz, Waqas, Zohair, Siddique Akbar and Sardar Alam
ABSTRACT
Objective: To identify the indications for percutaneous nephrostomy (PCN) placement and assess the success rate as well as the incidence of various complications associated with ultrasound-guided percutaneous nephrostomy.
Study Design: A retrospective Study
Place and Duration of Study: This study was conducted at the Institute of Kidney Diseases, Peshawar from April 2021 to April 2022.
Methods: This retrospective look at carried out at the Institute of Kidney Diseases, Peshawar, focused on patients who underwent ultrasound-guided percutaneous nephrostomy (PCN) for obstructive uropathy between April 2021 to April 2022. Data from HIS records and Urology Department registers have been analyzed. The inclusion standards encompassed patients aged >sixteen years, with exclusion standards involving incomplete documentation, pregnancy, and PCN for motives apart from obstructive uropathy. Statistical evaluation turned into achieved using IBM SPSS, calculating suggest, preferred deviation, frequency, and percentage. The take a look at layout aimed to offer complete insights into PCN-associated headaches, contributing to the development of urological care.
Results: The observe included 1702 sufferers with an average age of 38.50 ± 14.Seventy eight years. Successful PCN placement changed into executed in ninety six.1%, with 67 patients requiring more than one try. Complications have been mentioned in 18.9%, comprising 17.6% minor and 1.Three% major headaches. Macroscopic hematuria changed into the maximum not unusual (6.9%), followed by way of PCN dislodgment (1.9%) and tube occlusion (1. Eight%). Statistical analysis found out associations among complications and variables including gender, number of attempts, and age. The consequences contribute valuable insights into the efficacy and safety of ultrasound-guided PCN, assisting in refining procedural protocols for top-rated affected person care.
Conclusion: This study underscores the effectiveness and protection of ultrasound-guided percutaneous nephrostomy in dealing with obstructive uropathy. With urinary stones diagnosed as a important motive, the findings contribute to enhancing affected person care and procedural protocols at the Institute of Kidney Diseases, Peshawar, Pakistan.
Key Words: Obstructive Uropathy, Percutaneous Nephrostomy, Complications