| Autor: |
Pramod, Adiga, Sanjay Ramachandra, Pudakalkatti, V, Shivakumar, Mayank, Jain, R Navaneeth, Sreenidhi, C S, Manohar, Sreenivas, Jayaram, M, Nagabhushan, Ramaiah, Keshavamurthy |
| Rok vydání: |
2021 |
| Zdroj: |
Urology annals. 14(4) |
| ISSN: |
0974-7796 |
| Popis: |
Management of renal calculus in a patient of chronic kidney disease (CKD) is always challenging. Treatment options include extracorporeal shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy (PCNL). With PCNL being gold standard for renal calculus ≥1.5 cm in normal kidneys, we aimed to analyze the safety and efficacy of PCNL in CKD patients with calculus ≥1.5 cm.Sixty patients of CKD with renal calculus were included in the study: Group A with glomerular filtration rate (GFR) ≤30 ml/min/mThe mean age of patients was 52 years. A mean of 1.14sittings per renal unit was required for PCNL. Complete clearance was 94% after all auxiliary procedures. The mean prePCNL eGFR was 26.5 ± 4.01 and 43.6 ± 9l. 14 ml/min/1.73 mPCNL is an effective management strategy for renal calculus in patients with CKD with an acceptable stone clearance rates and manageable complications. Peak eGFR30 ml/min/m2 and postprocedure complications predict deterioration and need for RRT. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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