ABSTRACT

Aim: To assess the complications of laparoscopic nephrectomy for pyonephrosis at tertiary care hospital.

Methods: This cross sectional study was conducted at Department of Urology, Sahiwal Medical College, Sahiwal and Quaid Azam Medical College Bahawalpur from August 2017 to December 2019.Total 150 patients of pyonephrosis having age ≥20 years either male or female were selected for this study.Post nephrectomy complications were assessed.

Results:In present study total 150 patients underwent nephrectomy for pyonephrosis. Mean age of the patients was 39.86±4.33years.In 90(60%) of patient’s procedure was through trans peritoneal route while retroperitoneal access was used in 60(40%) patients. Male patients were 80(53%) and female patients were 70(47%).Total 93(62%) patients belonged to age group 20-40 years and 57(38%) patients belonged to age group 41-60 years.Major complications was noted in 22(14.67%) patients. Minor complications was seen in 36(24%) patients.

Conclusion: Results of present study showed male predominance undergoing nephrectomy for pyonephrosis. Most of the patients belonged to 3^rd decade of life.Intraoperative bleeding was the most common major complication. Among patients with minor complications, fever was most common.