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Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy

BACKGROUND: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. MATERIALS AND METHODS: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolitho...

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Autores principales: Sichani, Mehrdad Mohammadi, Babaeian, Masih, Haghdani, Saeid, Alizadeh, Farshid, Mazdak, Hamid, Hadi, Mazaher, Khorrami, Mohammadhatef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385698/
https://www.ncbi.nlm.nih.gov/pubmed/28516069
http://dx.doi.org/10.4103/2277-9175.203160
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author Sichani, Mehrdad Mohammadi
Babaeian, Masih
Haghdani, Saeid
Alizadeh, Farshid
Mazdak, Hamid
Hadi, Mazaher
Khorrami, Mohammadhatef
author_facet Sichani, Mehrdad Mohammadi
Babaeian, Masih
Haghdani, Saeid
Alizadeh, Farshid
Mazdak, Hamid
Hadi, Mazaher
Khorrami, Mohammadhatef
author_sort Sichani, Mehrdad Mohammadi
collection PubMed
description BACKGROUND: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. MATERIALS AND METHODS: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolithotomy (PCNL) procedures were included in this study. The patients were randomly assigned into two groups, Group A (n = 100) did not undergo the antegrade nephrostography on postoperative day 2 and the patients were discharged keeping the nephrostomy until postoperative day 3, while in Group B (n = 100) the nephrostomy tube was removed on postoperative day 3 after antegrade nephrostography demonstrating ureteral drainage down to the bladder. Postoperative complications in both groups were recorded and compared between two groups. RESULTS: A total of 200 patients were treated with standard PCNL. The persistent leakage of urine after removal of the nephrostomy tube was encountered in 5 (5.0%) and 3 (3%) of patients in Groups 1 and 2, respectively. Urinary leakage was resolved with conservative management in 3 and 2 patients of Groups 1 and 2, respectively, but a double-J stent was inserted in 2 and 1 patients in each group because of persistent leakage of urine more than 1-week. The two groups show comparable complications such as prolonged urinary leakage which managed in a similar manner, however, postoperative hospital stay was lesser in Group 1. CONCLUSION: Our results revealed postoperative performing nephrostogramy before tube removal changed the planning of complications such as prolonged urinary leakage and could be omitted in cases.
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spelling pubmed-53856982017-05-17 Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy Sichani, Mehrdad Mohammadi Babaeian, Masih Haghdani, Saeid Alizadeh, Farshid Mazdak, Hamid Hadi, Mazaher Khorrami, Mohammadhatef Adv Biomed Res Original Article BACKGROUND: The aim of this study is the caparison of the complications rate among the patients which underwent nephrostomy removal with and without performing nephrostography. MATERIALS AND METHODS: Between October 2010 and November 2011, 200 patients who underwent standard percutaneous nephrolithotomy (PCNL) procedures were included in this study. The patients were randomly assigned into two groups, Group A (n = 100) did not undergo the antegrade nephrostography on postoperative day 2 and the patients were discharged keeping the nephrostomy until postoperative day 3, while in Group B (n = 100) the nephrostomy tube was removed on postoperative day 3 after antegrade nephrostography demonstrating ureteral drainage down to the bladder. Postoperative complications in both groups were recorded and compared between two groups. RESULTS: A total of 200 patients were treated with standard PCNL. The persistent leakage of urine after removal of the nephrostomy tube was encountered in 5 (5.0%) and 3 (3%) of patients in Groups 1 and 2, respectively. Urinary leakage was resolved with conservative management in 3 and 2 patients of Groups 1 and 2, respectively, but a double-J stent was inserted in 2 and 1 patients in each group because of persistent leakage of urine more than 1-week. The two groups show comparable complications such as prolonged urinary leakage which managed in a similar manner, however, postoperative hospital stay was lesser in Group 1. CONCLUSION: Our results revealed postoperative performing nephrostogramy before tube removal changed the planning of complications such as prolonged urinary leakage and could be omitted in cases. Medknow Publications & Media Pvt Ltd 2017-03-28 /pmc/articles/PMC5385698/ /pubmed/28516069 http://dx.doi.org/10.4103/2277-9175.203160 Text en Copyright: © 2017 Advanced Biomedical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sichani, Mehrdad Mohammadi
Babaeian, Masih
Haghdani, Saeid
Alizadeh, Farshid
Mazdak, Hamid
Hadi, Mazaher
Khorrami, Mohammadhatef
Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title_full Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title_fullStr Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title_full_unstemmed Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title_short Is it Necessary to Perform Nephrostography before Tube Removal after Percutaneous Nephrolithotomy
title_sort is it necessary to perform nephrostography before tube removal after percutaneous nephrolithotomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385698/
https://www.ncbi.nlm.nih.gov/pubmed/28516069
http://dx.doi.org/10.4103/2277-9175.203160
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