Stone clearance by percutaneous nephrolithotomy (PCNL) in paediatric population.

Abstract

Objective: To determine the stone free rate by PCNL in pediatric population. Study Design: Descriptive Study. Setting: Department of Urology & Kidney Transplantation, Faisalabad Medical University and Affiliated Hospitals. Period: July 2019 to December 2019. Material & Methods: Total 55 patients were enrolled. After history, examination, relevant pre-operative investigations and informed consent, the patients underwent standard prone PCNL, with ureteral catheter placement, system puncture under fluoroscopic/ultrasound guide, tract dilatation, nephroscopic stone manipulation and retrieval. Pre and post operative images were compared for determinations stone clearance. Other relevant data operative time, need of blood transfusion & complications were recorded. All the information was documented on a proforma. Results: In our study, of 55 cases, 87.27% (n=48) were between   2-10 years of age whereas 12.73% (n=7) were between 11-14 years of age, mean+sd was calculated as 8.44+2.31 years. 56.36% (n=31) were male and 43.64% (n=24) were female. Frequency of stone clearance was recorded in 80% (n=44) whereas 20% (n=11) didn’t stone clearance. Conclusion: Frequency of stone clearance is high with percutaneous nephrolithotomy (PCNL) in pediatric population.