Stone Clearance Rate in Patients Treated with Percutaneous Nephrolithotomy versus Open Surgery for the Management of Staghorn Renal Calculi

Authors

  • Muhammad Akhtar, Muhammad Saad Ullah, Muhammad Hamza Khan Lodhi, Nadim Aslam, Zeeshan Zafar, Qazi Hussain Raza, Mm Khan

DOI:

https://doi.org/10.53350/pjmhs22169731

Abstract

Objective: To compare the stone clearance rate in patients treated with percutaneous nephrolithotomy (PCNL) versus open surgery for the management of staghorn renal calculi.

Materials and Methods: In this comparative study, a total number of 200 patients who presented in urology department of Ibn e Sina Hospital and Research Institute Multan with the diagnosis of staghorn stones were included. The study duration was October-2021 to January-2022. Group I: Patients underwent PCNL and Group II patients underwent open surgery for removal of stones. Stone clearance was two weeks of primary procedure.

Results: Mean age was 45.53±10. 37 years in PCNL group versus 44.36±10.80 years in open surgery group (p-value 0.44). There were 64% male patients in PCNL group and 62% male patients in open surgery group (p-value 0.77). There were 19% patients who had bilateral stone in PCNL group and 23% in open surgery group (p-value 0.48). Complete staghorn stones were diagnosed in 70% patients in PCNL and in 73% patients in open surgery group (p-value 0.64).Stone clearance rate was 76% patients in PCNL group and 62% patients in open surgery group (p-value 0.032).

Conclusion: In patients who have staghorn stones, percutaneous nephrolithotomy (PCNL) is preferable to open surgery in terms of the rate of stone clearance.

Keywords: Open surgery, Staghorn stones, percutaneous nephrolithotomy.

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How to Cite

Muhammad Akhtar, Muhammad Saad Ullah, Muhammad Hamza Khan Lodhi, Nadim Aslam, Zeeshan Zafar, Qazi Hussain Raza, Mm Khan. (2022). Stone Clearance Rate in Patients Treated with Percutaneous Nephrolithotomy versus Open Surgery for the Management of Staghorn Renal Calculi. Pakistan Journal of Medical & Health Sciences, 16(09), 731. https://doi.org/10.53350/pjmhs22169731