Prospective study: Safety of PCNL in Altered Renal function patients at our centre

Abstract

Background: Percutaneous nephrolithotomy (PCNL) for stones in solitary kidney poses a significant challenge and potential threat for acute kidney injury or progression of chronic kidney disease (CKD). Present study aimed to evaluate the outcome of percutaneous nephrolithotomy (PCNL) in patients with altered renal function.Materials and Method: A prospective study was conducted and PCNL was performed in all the eligible cases with due aseptic precautions and prophylactic antibiotic cover. In the present study, in a series of continuous 600 patients who were operated by PCNL, 57 patients with altered serum creatinine more than 1.5 were studied, observed and followed. Postoperative complications and stone-free rate were recordedResults: Prevalence of patients with urolithiasis with altered renal function is significantly higher (9.5%). Most of the patients are of 40-60 years of age group with more prevalence in males. If the patients has diabetes, hypertension, previous surgery for calculus like nephrolithotomy, pyelolithotomy improvement in renal function is less likely. Approximately 80.70% patients were benefited from doing PCNL either in the form of stable function or improvement in renal function.Conclusion: PCNL is safe and effective endoscopic technique for urinary stones in patients with altered renal function.