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Outcome from percutaneous nephrolithotomy in patients with spinal cord injury, using a single‐stage dilator for access
Author(s) -
Lawrentschuk Nathan,
Pan David,
Grills Richard,
Rogerson John,
Angus David,
Webb David R.,
Bolton Damien M.
Publication year - 2005
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2005.05635.x
Subject(s) - medicine , percutaneous nephrolithotomy , surgery , lithotomy position , spinal cord injury , dilator , percutaneous , stage (stratigraphy) , extracorporeal shock wave lithotripsy , lithotripsy , spinal cord , paleontology , alternative medicine , pathology , psychiatry , biology
The use of percutaneous nephrolithotomy to treat renal calculi in patients with spinal cord injury is described by authors from Melbourne. This is the first contemporary series reported for over 13 years, and the authors describe various unique features about their series and compare their results to previously reported studies.Authors from London describe the largest single series of renal transplant patients in adults and children with urolithiasis, study risk factors associated with this condition in renal transplant recipients, and report on their multimodal management by endourological and open procedures.OBJECTIVE To present our experience of percutaneous nephrolithotomy (PCNL) for treating urolithiasis in patients with spinal cord injury (SCI) using a single‐stage dilator for percutaneous access. PATIENTS AND METHODS A prospective database of patients with SCI having PCNL using the single‐stage dilator was assessed, analysing patient data, stone‐free rates, morbidity and the follow‐up outcome. RESULTS In all, 26 patients had 54 PCNLs on 32 kidneys; 20 had unilateral and six bilateral stone disease; there were many staghorn calculi (24/54). Major complications occurred in three of 54 PCNLs (6%). The complete stone‐clearance rate was 87% for PCNL alone, rising to 29 of 32 kidneys (91%) or 24 of 26 patients (92%) with adjuvant procedures. A further three kidneys required no further treatment and were monitored, having residual fragments of ≤ 2 mm. CONCLUSIONS PCNL has a high success rate and acceptable complication rate compared to extracorporeal shock‐wave lithotripsy, and remains a valid first‐line treatment option for kidney stones in patients with SCI.