Percutaneous calyceal irrigation calculi during percutaneoius nephrolithotomy

ABSTRACT

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