Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial

PURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients w...

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Main Authors: Mohammad Reza Zeighami, Ramin Haghighi, Mohammad Javad Soleimani, Masoud Etemadian, Neda Najimi
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2011-03-01
Series:Urology Journal
Subjects:
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/927/527
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spelling doaj-3368fc83fba14d979ec177ea0079da7a2020-11-25T00:02:53ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2011-03-01812126Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical TrialMohammad Reza ZeighamiRamin HaghighiMohammad Javad SoleimaniMasoud EtemadianNeda NajimiPURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients were randomly allocated to two groups: group A, who underwent tubeless PCNL and tract port was packed for 3 to 4 minutes after removing Amplatz sheath, and group B, for whom a 24-F nephrostomy tube was left in place at the end of the procedure. Patients were followed up for 3 months to check if bleeding occurred. RESULTS: The mean operation time was 68 ± 4.3 minutes in group A and 74 ± 5.6 minutes in group B (P = .098). The mean stone size was similar in groups A and B (36.26 ± 5.3 mm versus 35.35 ± 5.85 mm; P = .613). The mean hemoglobin drop was 3.65 ± 1.20 g/dL in group A and 3.13 ± 1.06 g/dL in group B. There was no significant difference between the mean of stonefree rate in groups A and B (92.58% ± 5.97versus 89.60% ± 8.3; P = .210). Patients in group A experienced a significantly less duration of hospitalization than group B (2.42 ± 0.84 days versus 3.70 ± 0.80 days; P < .001). CONCLUSION: In the absence of clear indication, nephrostomy tube insertion after PCNL does not seem to be beneficial, and its removal does not posepatients at any additional risk.www.urologyjournal.org/index.php/uj/article/view/927/527percutaneous www.uj.unrc.ir nephrolithotomyhemorrhagerandomized controlled clinical trialnephrostomy
collection DOAJ
language English
format Article
sources DOAJ
author Mohammad Reza Zeighami
Ramin Haghighi
Mohammad Javad Soleimani
Masoud Etemadian
Neda Najimi
spellingShingle Mohammad Reza Zeighami
Ramin Haghighi
Mohammad Javad Soleimani
Masoud Etemadian
Neda Najimi
Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
Urology Journal
percutaneous www.uj.unrc.ir nephrolithotomy
hemorrhage
randomized controlled clinical trial
nephrostomy
author_facet Mohammad Reza Zeighami
Ramin Haghighi
Mohammad Javad Soleimani
Masoud Etemadian
Neda Najimi
author_sort Mohammad Reza Zeighami
title Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
title_short Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
title_full Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
title_fullStr Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
title_full_unstemmed Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
title_sort does bleeding during percutaneous nephrolithotomy necessitate keeping the nephrostomy tube?a randomized controlled clinical trial
publisher Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
series Urology Journal
issn 1735-1308
1735-546X
publishDate 2011-03-01
description PURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients were randomly allocated to two groups: group A, who underwent tubeless PCNL and tract port was packed for 3 to 4 minutes after removing Amplatz sheath, and group B, for whom a 24-F nephrostomy tube was left in place at the end of the procedure. Patients were followed up for 3 months to check if bleeding occurred. RESULTS: The mean operation time was 68 ± 4.3 minutes in group A and 74 ± 5.6 minutes in group B (P = .098). The mean stone size was similar in groups A and B (36.26 ± 5.3 mm versus 35.35 ± 5.85 mm; P = .613). The mean hemoglobin drop was 3.65 ± 1.20 g/dL in group A and 3.13 ± 1.06 g/dL in group B. There was no significant difference between the mean of stonefree rate in groups A and B (92.58% ± 5.97versus 89.60% ± 8.3; P = .210). Patients in group A experienced a significantly less duration of hospitalization than group B (2.42 ± 0.84 days versus 3.70 ± 0.80 days; P < .001). CONCLUSION: In the absence of clear indication, nephrostomy tube insertion after PCNL does not seem to be beneficial, and its removal does not posepatients at any additional risk.
topic percutaneous www.uj.unrc.ir nephrolithotomy
hemorrhage
randomized controlled clinical trial
nephrostomy
url http://www.urologyjournal.org/index.php/uj/article/view/927/527
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