%0 Journal Article
%T Does Bleeding During Percutaneous Nephrolithotomy Necessitate keeping the Nephrostomy Tube?A Randomized Controlled Clinical Trial
%A Masoud Etemadian
%A Mohammad Javad Soleimani
%A Ramin Haghighi
%A Mohammad Reza Zeighami
%J Urology Journal
%D 2011
%I Shaheed Beheshti University of Medical Sciences
%X PURPOSE: To compare outcomes in two groups of patients with kept and discarded nephrostomy tube after percutaneous nephrolithotomy (PCNL) complicated with bleeding. MATERIALS AND METHODS: Two hundred patients who had undergone PCNL complicated with hemorrhage were recruited in this study. Patients were randomly allocated to two groups: group A, who underwent tubeless PCNL and tract port was packed for 3 to 4 minutes after removing Amplatz sheath, and group B, for whom a 24-F nephrostomy tube was left in place at the end of the procedure. Patients were followed up for 3 months to check if bleeding occurred. RESULTS: The mean operation time was 68 ¡À 4.3 minutes in group A and 74 ¡À 5.6 minutes in group B (P = .098). The mean stone size was similar in groups A and B (36.26 ¡À 5.3 mm versus 35.35 ¡À 5.85 mm; P = .613). The mean hemoglobin drop was 3.65 ¡À 1.20 g/dL in group A and 3.13 ¡À 1.06 g/dL in group B. There was no significant difference between the mean of stonefree rate in groups A and B (92.58% ¡À 5.97versus 89.60% ¡À 8.3; P = .210). Patients in group A experienced a significantly less duration of hospitalization than group B (2.42 ¡À 0.84 days versus 3.70 ¡À 0.80 days; P < .001). CONCLUSION: In the absence of clear indication, nephrostomy tube insertion after PCNL does not seem to be beneficial, and its removal does not posepatients at any additional risk.
%K percutaneous www.uj.unrc.ir nephrolithotomy
%K hemorrhage
%K randomized controlled clinical trial
%K nephrostomy
%U www.urologyjournal.org/index.php/uj/article/view/927/527