Audit of Percutaneous Nephrostomy in Rabat Urological Centre

Objectives: To audit and compare the different techniques for percutaneous nephrostomy (PCN) and assess the indication of each. Methods: Between March 2009 and November 2009; the records of 27 patients who underwent percutaneous nephrostomy were retrospectively reviewed. PCN procedures were performed under ultrasonography (US); computed tomography (CT) guidance or blindly according to the grade of hydronephrosis. Results: US guided PCN were done for 15; CT guided PCN for 10 and blindly PCN for two patients. Overall success rate was 25 (92.6). US guided PCN had success rate of 13 (86.6); CT guided PCN eight (80) while blindly PCN 2(100). The overall complications were minimal. Conclusions: The success of PCN procedures depend mainly on the degree of hydronephrosis and selection of the appropriate image guidance

Percutaneous calyceal irrigation calculi during percutaneoius nephrolithotomy

Objectives: Percutaneous nephrolithotomy performed for the management of complex renal calculi is a challenging endourological procedure. In complex situations multiple tracks and Y tracks may be needed to achieve complete stone clearance. These maneuvers carry a risk of complications especially bleeding. This study was carried out to evaluate the efficacy of the use of percutaneous calyceal irrigation (PCI) for small calyceal calculi during percutaneous nephrolithotomy. Patients and Methods: Fifty patients; in whom percutaneous calyceal irrigation (PCI) was attempted; were retrospectively evaluated. Results: Complete stone clearance was achieved with the help of PCI in 62renal units. There were no complications attributable to PCI. Conclusion: Our results encourage the use of PCI as a simple technique for clearance of small calyceal calculi thus preventing the need for a second track or Y track