An Experience of Supine PCNL in Tertiary Care Hospital in Gujranwala, Pakistan

Abstract

A prospective analytical study was conducted at the Urology Department of Gujranwala Teaching Hospital from January 2022 to April 2023. The aim was to experience the safety & efficacy of supine PCNL performed at tertiary care hospital at Gujranwala which is being performed in few centers in Pakistan. A total of 98 patients undergoing percutaneous nephrolithotomy (PCNL) were included in the study. The majority of patients presented with flank pain. Complete stone clearance was achieved in 67 cases, and 31 patients became stone-free after extracorporeal shock wave lithotripsy (ESWL). Post-operative complications were minimal, with only two cases of sepsis and 10 cases of post-operative fever. No mortality was reported during the study. Percutaneous nephrolithotomy was found to be the preferred treatment option for renal stones larger than 20mm, offering a high stone-free rate and low complication rates. Further advancements in treatment modalities may help reduce complications and improve outcomes.