Volume 11 Issue 12
EFFICACY, SAFETY, AND OUTCOMES OF PCNL AND RIRS IN PATIENTS WITH KIDNEY STONES: A COMPARATIVE STUDY
1Dr Ehsan Ul Islam, 2Dr. Muhammad Faridullah Thaimur, 3Dr muhammad nasir jamil, 4Dr Aminullah, 5Dr Humayun Khan, 6Dr Muhammad Shahzad
1CONSULTANT UROLOGIST PAKISTAN KIDNEY CENTRE ABBOTTABAD.
2PGR urology, Ayub teqching Hospital, Abbottabad MBBS
3Associate professor, department of urology, Ayub medical teaching institute, abbottabad.
4Assistant professor department of urology, ayub teaching hospital, medical teaching institute, abbottabad.
5Consultant Urologist, PAKISTAN KIDNEY CETRE ABBOTTABAD
6Assistant Professor Urology Ayub Medical Teaching Institute Abbottabad
ABSTRACT
Background: Nephrolithiasis in a kidney poses significant health risks, requiring effective management to prevent complications. PCNL and RIRS are two primary interventions, each with specific advantages and limitations.
Aims & Objectives: To compare the efficacy, safety, and outcomes of PCNL and RIRS in patients with kidney stones, providing insights to optimize treatment strategies.
Methods: A comparative descriptive cross-sectional study of 237 patients undergoing PCNL or RIRS for nephrolithiasis. Metrics for surgical outcomes included stone clearance rates and postoperative complications.
Results: PCNL showed a higher initial stone clearance rate (90.3%) compared to RIRS (78.23%), with no significant difference in total stone clearance rates. Both procedures exhibited similar safety profiles, though PCNL was associated with a significant post-surgery reduction in hemoglobin levels.
Conclusion: Both PCNL and RIRS offer viable options for the management of isolated kidney stones, with PCNL having a slight advantage in initial stone clearance. The choice of procedure should be based on a comprehensive evaluation of the patient’s condition, considering the comparative efficacy and safety profiles.
Keywords: Nephrolithiasis, Percutaneous Nephrolithotomy (PCNL), Retrograde Intrarenal Surgery (RIRS), Kidney Stones, Stone Clearance, Postoperative Complications.