Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial
OBJECTIVE: Since the introduction of percutaneous nephrolithotomy (PCNL), many changes have been added regarding the entrance to pyelocalyceal system such as insertion of the needle pointed to an opaque stone as a guided landmark. We aim at comparing the outcomes of managing renal calculi with and w...
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Sociedade Brasileira de Urologia
2007-02-01
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doaj-0e7185cad6914416a398d3286da429ab2020-11-24T23:23:16ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192007-02-01331192410.1590/S1677-55382007000100004Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trialAli TabibiHamed AkhavizadeganKia Nouri-MahdaviMohammad Najafi-SemnaniMojgan KarbakhshAli R. NiroomandOBJECTIVE: Since the introduction of percutaneous nephrolithotomy (PCNL), many changes have been added regarding the entrance to pyelocalyceal system such as insertion of the needle pointed to an opaque stone as a guided landmark. We aim at comparing the outcomes of managing renal calculi with and without retrograde pyelography. MATERIALS AND METHODS: In a randomized clinical trial, 55 cases with opaque renal calculi candidates for PCNL with stone in one calyce, in the pelvis or both in one calyce and the pelvis simultaneously were included in a nine-month study. They were randomized into 2 groups, noncatheterized (n = 28) and catheterized (n = 27), called intervention and control groups, respectively. RESULTS: The 2 groups had similar distributions regarding gender, age, duration of operation, length of hospital stay, past history of any surgical procedures on kidney, and stone size. Outcome (residual stone based on aforementioned management) was evaluated with plain X-ray on the morning following the operation. Postoperative hemoglobin decrease was significantly higher in controls than in the intervention group (p < 0.001) (with no clinical significance). No difference in outcome, postoperative fever, duration of surgery, duration of hospital stay and radiation exposure was observed between the 2 groups. CONCLUSION: Our findings showed no differences in major clinical outcomes between the 2 groups (with and without catheter insertion for retrograde pyelography).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000100004urolithiasispercutaneous nephrolithotomypyelography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ali Tabibi Hamed Akhavizadegan Kia Nouri-Mahdavi Mohammad Najafi-Semnani Mojgan Karbakhsh Ali R. Niroomand |
spellingShingle |
Ali Tabibi Hamed Akhavizadegan Kia Nouri-Mahdavi Mohammad Najafi-Semnani Mojgan Karbakhsh Ali R. Niroomand Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial International Brazilian Journal of Urology urolithiasis percutaneous nephrolithotomy pyelography |
author_facet |
Ali Tabibi Hamed Akhavizadegan Kia Nouri-Mahdavi Mohammad Najafi-Semnani Mojgan Karbakhsh Ali R. Niroomand |
author_sort |
Ali Tabibi |
title |
Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
title_short |
Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
title_full |
Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
title_fullStr |
Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
title_full_unstemmed |
Percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
title_sort |
percutaneous nephrolithotomy with and without retrograde pyelography: a randomized clinical trial |
publisher |
Sociedade Brasileira de Urologia |
series |
International Brazilian Journal of Urology |
issn |
1677-5538 1677-6119 |
publishDate |
2007-02-01 |
description |
OBJECTIVE: Since the introduction of percutaneous nephrolithotomy (PCNL), many changes have been added regarding the entrance to pyelocalyceal system such as insertion of the needle pointed to an opaque stone as a guided landmark. We aim at comparing the outcomes of managing renal calculi with and without retrograde pyelography. MATERIALS AND METHODS: In a randomized clinical trial, 55 cases with opaque renal calculi candidates for PCNL with stone in one calyce, in the pelvis or both in one calyce and the pelvis simultaneously were included in a nine-month study. They were randomized into 2 groups, noncatheterized (n = 28) and catheterized (n = 27), called intervention and control groups, respectively. RESULTS: The 2 groups had similar distributions regarding gender, age, duration of operation, length of hospital stay, past history of any surgical procedures on kidney, and stone size. Outcome (residual stone based on aforementioned management) was evaluated with plain X-ray on the morning following the operation. Postoperative hemoglobin decrease was significantly higher in controls than in the intervention group (p < 0.001) (with no clinical significance). No difference in outcome, postoperative fever, duration of surgery, duration of hospital stay and radiation exposure was observed between the 2 groups. CONCLUSION: Our findings showed no differences in major clinical outcomes between the 2 groups (with and without catheter insertion for retrograde pyelography). |
topic |
urolithiasis percutaneous nephrolithotomy pyelography |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382007000100004 |
work_keys_str_mv |
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