Effect of Nephrostomy Tube Calibre (12F vs. 24F) on the Safety and Outcome of PCNL - A Prospective Randomized Study

Iqbal Singh, Sunit Prakash Tiwari, Gaurav Garg and Sanjay Gupta

Department of Surgery, Division of Urology, University College of Medical Sciences, University of Delhi and GTB Hospital, India

^*Correspondance to: Iqbal Singh 

 PDF  Full Text Research Article | Open Access

Abstract:

Aim and Objectives: To compare the safety and clinical outcome of using 12F vs. 24F calibre Percutaneous Nephrostomy tube (PCN) in patients undergoing standard PCNL.
Materials and Methods: The present study was a prospective randomised study done at a tertiary care referral centre in North India between November 2014 and April 2016. Eligible patients undergoing PCNL were randomised to receive either (12F) or (24F) PCN tube. We analyzed duration of hematuria, change in the hematocrit, post operative pain using Visual Analogue pain Score (VAS) at 8 h, 16 h, 24 h and 48 h and total analgesic demand (mgs of Diclofenac sodium), duration of urine leak after PCN removal, PCN indwelling time (hours), and the post PCNL complications, using Clavien score.
Results: 12F nephrostomy group showed significantly less post-operative pain and analgesic requirement as compared to 24F nephrostomy group (p<0.001). There was no significant difference in duration of hematuria, PCN site leak, PCN indwelling time, stone clearance rates, hospital stay and complications between two groups.
Conclusion: A narrow caliber nephrostomy (12 Fr) was associated with significantly lower operative morbidity and complications than a wider caliber nephrostomy (24 Fr) in terms of post op pain and analgesic requirement.

Keywords:

PCNL; Nephrotomy tube; Complications

Cite the Article:

Singh I, Tiwari SP, Garg G, Gupta S. Effect of Nephrostomy Tube Calibre (12F vs. 24F) on the Safety and Outcome of PCNL - A Prospective Randomized Study. World J Surg Surgical Res. 2019; 2: 1118.