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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Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2011-03-01
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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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