PLANNING FOR AN OPTIMAL ACCESS FOR PERCUTANEOUS NEPHROSTOMY; IT'S COMPLICATIONS, FOLLOW UP AND OUTCOME

Abstract

Aim: To determine technical success, complication and clinical outcome of ultrasound guided percutaneous nephrostomy. Methods: Our study included a total of 84 patients of both the sexes between the age group ranging from 21 to 70 years. Two puncture techniques were used, Seldinger (SD) and Trocar techniques (TD). Result: Out of 84 patients, 44 were allocated in SD group and 40 in TD group. Out of 84 cases, 49(58.33%) were male and 35(41.67%) were female. The most common indication for PCN in our study was pyonephrosis (32.1%), followed by ureteric calculus (21.4%). Technical success rate was 85 % (34) and 95.5 % (42) in TD and SD respectively whereas failure rate was seen 15% (6) and 4.5% (2) in TD and SD respectively. Overall rate of minor complications was 12.5% in TD and 9.1% in SD respectively & rate of major complications was 5% in TD and 2.3% in SD respectively. Ultrasound-guided PCN is a Conclusion: safe and effective treatment method for obstructive uropathy with great clinical benet, high technical success and low complications rates