FREQUENCY OF CERTAIN COMPLICATIONS OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL)

ABSTRACT
Objective: To find out the prevalence of
• Hemorraghe.
• Sepsis.
• Urinary Fistula in PCNL.
Material & Methods: This study was conducted in The Department of Urology, Institute of Kidney Disease, Hayatabad
Medical Complex, Peshawar, Pakistan from 1st July 2014 to 30th June 2016. In this descriptive study total of 30 patients
were admitted in department of urology on basis of inclusion and exclusion criteria. Objective of this study was
to assess the frequency of hemorrhage, sepsis and urinary fistula in PCNL.
Results: Total numbers of patients included in this descriptive study were 30. Gender ratio of the patients (male female)
was 2:1 with mean age of 41±16 years. Total complications were recorded per operative and post operative was 26%
(n=8). To analyze these complications SPSS version 12 was used. Per operative and post operative hemorrhage that
drop blood pressure and needed blood transfusion was noted in 16% (n=5). One of these five patients had massive
hemorrhage and procedure was converted to open operation that ended in nephrectomy. Post operative sepsis was
recorded 6% (n=2), Post operative urinary fistula was found in 3% (n=1).
Conclusion: Presently PCNL is considered to be a gold standard for the management of renal calculi. But it is still
associated with complications. We need more experience and dedicated research to optimize our results and to bring
it to the level as seen in international centers of excellence.