Is percutaneous nephrolithotomy safe in chronic kidney disease patients!!!

Authors :: Pramod Adiga
Sanjay Ramachandra Pudakalkatti
V Shivakumar
Mayank Jain
R Navaneeth Sreenidhi
C S Manohar
Sreenivas Jayaram
M Nagabhushan
Ramaiah Keshavamurthy
Source :: Urology Annals, Vol 14, Iss 4, Pp 317-321 (2022)
Publication Year :: 2022
Publisher :: Wolters Kluwer Medknow Publications, 2022.
Abstract: Introduction: Management of renal calculus in a patient of chronic kidney disease (CKD) is always challenging. Treatment options include extracorporeal shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy (PCNL). With PCNL being gold standard for renal calculus .1.5 cm in normal kidneys, we aimed to analyze the safety and efficacy of PCNL in CKD patients with calculus .1.5 cm. Materials and Methods: Sixty patients of CKD with renal calculus were included in the study: Group A with glomerular filtration rate (GFR) ≤30 ml/min/m2 and Group B with GFR >30