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Akhtar Nawaz, Fazle Manan, Javad Maindad and Reema Tahir

ABSTRACT

Objective: This study aimed to evaluate the outcomes of (mini-percutaneous-nephrolithotomy) (PCNL) in the treatment of individuals with SFKs who have renal stone disease.

Study Design: A Retrospective Analysis study

Place and Duration of Study: This study was conducted at the Department of Urology Institute of Kidney Diseases Peshawar from January 2021 to September 2023.

Methods: Patients with renal stone disease in solitary functional kidneys (SFKs) who had mini-percutaneous nephrolithotomy (PCNL) had their medical data retrospectively analyzed for this study. The study included individuals with SFKs, whether or not they had renal failure; paediatric patients were not included. Mini PCNLs were carried out under rigorous aseptic conditions while under general anaesthesia. Fluoroscopy was used to confirm the placement of the stone, and the case dictated whether to use a single or double-tract approach. The proper tools were used for stone removal and fragmentation, and a Double-J stent was inserted in each instance. Monitoring blood parameters, imaging for stone clearance, and removal of the Double-J stent as necessary were all part of the postoperative treatment. To find relationships between different elements, statistical analysis was done.

Results: The mean age of the patients was 40.55 years, with a majority being male. PCNL procedures were primarily performed using a single-tract approach. The stone clearance rate achieved was 90.9%, with a low percentage of patients requiring auxiliary treatment. Complications, such as postoperative fever and hematuria, were observed but effectively managed. Statistical analysis revealed correlations between certain factors, including gender, stone size, and complications.

Conclusion: Mini PCNL demonstrated satisfactory outcomes in terms of stone clearance in patients with SFKs.

Key Words: Renal stones, Solitary functioning kidney, percutaneous nephrolithotomy (PCNL), Stone clearance, Complications

Citation of article: Nawaz A, Manan F, Maindad J, Tahir R. Outcome of Mini-Percutaneous-Nephrolithotomy in Solitary Functioning Kidneys, Single Centre Experience. Med Forum 2023;34(11):93-96. doi:10.60110/medforum.341101.