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23-10-2024 | Urology – Original Paper

Total tubeless percutaneous nephrolithotomy without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis: a randomized controlled trial

Authors: Xiaowen Fu, Wei Hu, Weiming Deng, Wei Jin, Xiongbing Zu, Guoqiang Zhu, Mingyong Li

Published in: International Urology and Nephrology

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Abstract

Objectives

To evaluate the safety and efficacy of total tubeless percutaneous nephrolithotomy (PCNL) without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis.

Methods

This prospective randomized controlled study at a tertiary care medical center was conducted from August 2019 to April 2023. Kidney stone patients diagnosed by computed tomography (CT) without significant hydronephrosis were randomly assigned to two groups: total tubeless PCNL without retrograde insertion of a ureteral catheter (group 1) and traditional PCNL (group 2). The primary endpoint was postoperative complications, while the secondary endpoints included the stone-free rate (SFR), operative time, length of postoperative hospital stay, and medical costs.

Results

A total of 99 patients were recruited, including 50 patients in group 1 and 49 patients in group 2. There were no significant differences in postoperative complications and SFR between the two groups (P > 0.05). However, relative to group 2, patients in group 1 had significantly shorter operative time (58.5 ± 25.39 min vs. 82.98 ± 26.02 min, P < 0.001) and length of postoperative hospital stay (1.98 ± 1.72 days vs. 4.39 ± 2.95 days, P < 0.001), as well as significantly lower medical costs (3190.30 ± 590.58 dollars vs. 3552.78 ± 967.79 dollars, P = 0.03).

Conclusion

Total tubeless PCNL without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis is safe and effective for urologists with extensive experience in PCNL.

Trial registration

chictr.org.cn identifier, ChiCTR2000040884, date of registration: 13/12/2020, retrospectively registered.
Appendix
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Literature
10.
go back to reference Volkin D, Shah O (2016) Complications of ureteroscopy for stone disease. Minerva Urol Nefrol 68(6):570–585PubMed Volkin D, Shah O (2016) Complications of ureteroscopy for stone disease. Minerva Urol Nefrol 68(6):570–585PubMed
11.
go back to reference Tabibi A, Akhavizadegan H, Nouri Mahdavi K et al (2005) Percutaneous nephrolithotomy with and without retrograde pyelography: preliminary results of a randomized controlled trial. Urol J 2(3):132–135 (Discussion 5-6)PubMed Tabibi A, Akhavizadegan H, Nouri Mahdavi K et al (2005) Percutaneous nephrolithotomy with and without retrograde pyelography: preliminary results of a randomized controlled trial. Urol J 2(3):132–135 (Discussion 5-6)PubMed
12.
go back to reference LI Xu -ming GC, CHENG Hong-lin, CHENG Zong-yong, ZHANG Li. The security explore in percutaneous nephrolithotripsy under B -type ultrasound without ureteral catheter (in Chinese). Chin J Endourology (Electronic Edition). August 2012;Vol 6, No. 4. LI Xu -ming GC, CHENG Hong-lin, CHENG Zong-yong, ZHANG Li. The security explore in percutaneous nephrolithotripsy under B -type ultrasound without ureteral catheter (in Chinese). Chin J Endourology (Electronic Edition). August 2012;Vol 6, No. 4.
Metadata
Title
Total tubeless percutaneous nephrolithotomy without retrograde insertion of a ureteral catheter for the treatment of kidney stone patients without hydronephrosis: a randomized controlled trial
Authors
Xiaowen Fu
Wei Hu
Weiming Deng
Wei Jin
Xiongbing Zu
Guoqiang Zhu
Mingyong Li
Publication date
23-10-2024
Publisher
Springer Netherlands
Published in
International Urology and Nephrology
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-024-04252-w

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