RESUMO
This case describes a 47-year-old female with tuberous sclerosis associated with bilateral giant renal angiomyolipomas. She underwent an initial renal angioembolization in August 2006. After four months, she required emergency nephrectomy due to spontaneous hemorrhage from the angiomyolipoma (Wunderlich's syndrome). Life threatening Wunderlich's syndrome requires emergency nephrectomy, however, renal preservation can be achieved by elective nephron sparing surgery.
RESUMO
OBJECTIVE: To determine the safety and efficacy of tubeless percutaneous nephrolithotomy (PCNL). METHODS: A quasi-experimental study conducted on 50 patients, at a specialized urology centre. RESULTS: The primary success rate of the procedure in terms of stone clearance was 70%. Mean length of hospital stay was 2.44 days. There were no significant complications during or after the surgery. CONCLUSION: Tubeless PCNL is a safe and effective modification of the conventional procedure. Absence of the nephrostomy tube may help in keeping the patient comfortable after the surgery and reduction in the length of hospital stay.
