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From September 2016 to September 2019, this study was carried out at the Urology and Nephrology University Hospital at Assiut University in Assiut, Egypt. On sixty individuals were divided into two therapy groups, each comprising thirty patients. The first group underwent a traditional percutaneous nephrolithotomy (PCNL), while the second group underwent a tubeless procedure. The average blood loss before and after the procedure, changes in hemoglobin, and creatinine levels did not differ statistically significantly between the two groups, according to the results. These findings demonstrates that the tubeless group had a longer surgical length, a difference that was statistically significant (P-value = 0.034*). However, there were no significant differences between the two groups with respect to the number of tracts or methods of access. Following the procedure, the patient was randomly assigned to have either a nephrostomy tube or have the tract closed without the need for a tube. The patient was randomly assigned to get either a nephrostomy tube or have the tract closed without the need for a tube. [ABSTRACT FROM AUTHOR]