Bilateral Single-Session Percutaneous Nephrolithotomy: A Feasible and Safe Treatment

Maheshwari, Pankaj N; Andankar, Mukund; Hegde, Sunil S.; Bansal, Manish

doi:10.1089/end.2000.14.285

Cited by 30 publications

(20 citation statements)

References 3 publications

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“…This procedure can be administered in either a staged, synchronous or simultaneous manner (2,7,8). It has been reported that bilateral simultaneous PCNL has some unique advantages such as shorter hospital stay, less radiation exposure, reduced anesthesia and medication requirements, as well as cost-effectiveness (2,7,9). However, the complication rates are similar to bilateral staged or unilateral PCNL (2,10).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

et al. 2013

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Purpose: The aim of the study was to evaluate the efficacy and safety of bilateral single--session retrograde intrarenal surgery in the treatment of bilateral renal stones. Materials and Methods: From December 2008 to February 2012, 42 patients who had undergone bilateral single-session retrograde intrarenal surgery (RIRS) and laser lithotripsy were included in the study. The procedures were performed in the lithotomy position on an endoscopy table under general anesthesia, beginning on the side in which the stone size was smaller. Plain abdominal radiography, intravenous urograms (IVU), renal ultrasonography (USG) and / or non-contrast tomography (CT) scans were conducted for all patients. The success rate was defined as patients who were stone-free or only had residual fragment less than 4 mm. Results: A total of 42 patients (28 male, 14 female) with a mean age 39.2 ± 14.2 were included in the present study. The mean stone size was 24.09 ± 6.37 mm with a mean operative time of 51.08 ± 15.22 minutes. The stone-free rates (SFR) were 92.8% and 97.6% after the first and second procedures, respectively. The average hospital stay was 1.37 ± 0.72 days. In two patients (4.7%), minor complications (Clavien I or II) were observed, whereas no major complications (Clavien III-V) or blood transfusions were noted in the studied group. Conclusions: Bilateral single-session RIRS and laser lithotripsy can be performed safely and effectively with a high success rate and low complication rate in patients with bilateral renal stones.

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Section: Discussionmentioning

confidence: 99%

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

et al. 2013

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“…Thus, decreasing treatment cost and rendering the patient stone free as soon as possible were the driving factors behind our decision to perform bilateral surgery in one session. The efficacy and safety of bilateral simultaneous percutaneous nephrostomy has been demonstrated in the literature [7,8] . Holman et al [9] compared the complications of this procedure with unilateral percutaneous nephrostomy performed in two sessions and found that stone-free rates, renal impairment and the complication rates were similar.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Percutaneous Nephrolithotomy in a Patient with Hemophilia A Disorder

Kural¹,

Demi̇rkesen²,

Alıcı³

et al. 2007

Urol Int

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A 50-year-old man with hemophilia A presented with recurrent hematuria due to renal stone disease. He was receiving approximately 50,000 units of recombinant factor (rF) VIII concentrate every year due to hematuria. Between 1996 and 2002, his serum creatinine level increased from 0.7 to 1.2 ng/ml. In an effort to resolve the problems of excessive blood loss with transfusions, recurrent rF VIII replacements and deteriorating renal function, he was offered treatment with percutaneous nephrolithotomy (PNL) in conjunction with rF VIII administration. He underwent left PNL for left staghorn calculi in November 2002 with administration of 52,000 units rF VIII, and another PNL for the right kidney in April 2004 with the administration of 90,500 units rF VIII. A pneumatic lithotriptor was used in both operations. The serum creatinine level was 0.8 ng/ml upon completion of treatment and the patient was symptom and stone free at 10-month follow-up. He has not suffered from hematuria since that time. We conclude that bleeding disorders may not be a contraindication for PNL if corrected and monitored appropriately.

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“…Thirteen patients (three girls and 10 boys, 26 kidneys; mean age 8 years, range [3][4][5][6][7][8][9][10][11][12][13][14] underwent simultaneous bilateral percutaneous nephrolithotomy (PCNL) in the same session, under general anaesthesia, starting with ureteric catheter insertion into both kidneys and using a 26 F adult nephroscope. The mean (range) stone diameter was 2 (1-3.5) cm.…”

Section: Methodsmentioning

confidence: 99%

“…This technological advance was slowly applied in children, primarily because of the technical limitations associated with smaller patients and secondly because of the rarity of paediatric urolithiasis. Simultaneous bilateral PCNL (SBPCNL) was reported in adults [1][2][3][4][5][6][7][8]. SBPCNL in children is a challenge for the endourologist; to our knowledge, we report the first series in children.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous bilateral percutaneous nephrolithotomy in children

et al. 2004

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In the paediatric section, two papers relating to the upper urinary tract are presented. The first, from Hungary, describes simultaneous bilateral percutaneous nephrolithotomy in 13 patients, where it was deemed feasible; this is the first such report. Authors from London report on unilateral nephrectomy in patients with nephrogenic hypertension, and found that it was successful in normalising blood pressure in patients with renal hypertension with a normal contralateral kidney. OBJECTIVE To evaluate the efficacy of removing bilateral kidney stones simultaneously from children, in one session. PATIENTS AND METHODS Thirteen patients (three girls and 10 boys, 26 kidneys; mean age 8 years, range 3–14) underwent simultaneous bilateral percutaneous nephrolithotomy (PCNL) in the same session, under general anaesthesia, starting with ureteric catheter insertion into both kidneys and using a 26 F adult nephroscope. The mean (range) stone diameter was 2 (1–3.5) cm. Three patients had staghorn stones in one of their kidneys. Ultrasonic disintegration was used; two patients had bilateral and two others unilateral endopylotomy, and one patient had percutaneous suprapubic cystolithotomy in the same session. The mean (range) operative duration was 65 (55–90) min. RESULTS All patients were rendered stone‐free; there was no severe bleeding or any other complication. On one side in one of the patients, a second session was needed because of residual stone. The nephrostomy tubes were removed 3 and 4 days after PCNL and the hospital stay was 6 (1–11) days. CONCLUSION The advantages of simultaneous bilateral PCNL are reduced psychological stress, one cystoscopy and anaesthesia, less medication and a shorter hospital stay and convalescence, with considerable savings in cost. In experienced hands this method can be used not only in adults but also in children. To our knowledge this is the only report of this technique in children.

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Bilateral Single-Session Percutaneous Nephrolithotomy: A Feasible and Safe Treatment

Cited by 30 publications

References 3 publications

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

Bilateral Single-Session Retrograde Intrarenal Surgery for the Treatment of Bilateral Renal Stones

Bilateral Percutaneous Nephrolithotomy in a Patient with Hemophilia A Disorder

Simultaneous bilateral percutaneous nephrolithotomy in children

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