ABSTRACT
Background: SIMS/Services Hospital Urology department presented its initial experience of Percutaneous Nephrolithotomy [PCNL] with promising results
Aim: To assess the efficacy and safety of PCNL in the management of Renal stones
Methods: Prospective study of 40 patients who underwent PCNL. Procedure performed in General Anasthesia. Placement of ureteric catheter in Lithotomy position to visualize the collecting system. Ureteric catheter and Foley catheter retained in a sterilized bag. Patient shifted to prone position with C-Arm at 0[degree]. Nephrostomy needle placed over desired calyx and tract dilated with metallic dilators. Stone crushed with swiss lithoclast and fragments removed with stone graspers. Foley catheter placed at the end of procedure percutaneously. X-Ray KUB done post operatively and both Foley and ureter removed subsequently
Results: In total 40 patient 27 [67.5%] male and 13 [32.5%] female the success rate with PCNL as monotherapy was 72.5%. It was 82.5% when combined with ESWL
Conclusion: Percutaneous Nephrolithotomy [PCNL] is effective monotherapy for renal stones and gives excellent results when combined with ESWL