PERCUTANEOUS NEPHROLITHOTOMY AND RETROGRADE INTRARENAL SURGERY FOR TREATMENT OF RENAL STONE SIZE BETWEEN 1.0 CM AND 2.5 CM: A COMPARATIVE STUDY

VISHWAS BAHETI; PANKAJ TRIVEDI; UDAY DOBARIA; FATEH SINGH MEHTA

doi:10.22159/ajpcr.2022.v15i12.45813

Authors

VISHWAS BAHETI Department of Urology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
PANKAJ TRIVEDI Department of Urology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
UDAY DOBARIA Department of Surgery, HCG Hospital, Ahmedabad, Gujarat, India.
FATEH SINGH MEHTA Department of Surgery, Geetanjali University, Udaipur, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i12.45813

Keywords:

Retrograde Intrarenal Surgery (RIRS), Percutaneous Nephrolithotomy (PCNL), Shock Wave Lithotripsy (SWL), Renal stone

Abstract

Objectives: To evaluate the efficacy and safety of RIRS and PCNL in treatment of renal stone size between 1-2.5cm.

Methods: This comparative prospective study was conducted in the Department of Urology of a tertiary care teaching hospital of Rajasthan from January 2019 to June 2020. Patients were fully informed about the study protocol and a written informed consent has obtained from patients with renal stone disease without any co-morbid conditions, posted for RIRS and PCNL. Stone free rate, post operative complications, hospital stay, operation time and cost between RIRS and PCNL for treatment of renal stone size between 1-2.5cm were compared.

Results: Out of total 313 patients, 212 patients underwent PCNL and 101 patients RIRS. The stone clearance rate was significantly better in PCNL (92.45%) than RIRS (85.15%). The hospital stay was significantly less in RIRS (2.02±1.36 days) when compared to PCNL (3.89±2.18 days). Mean operative time for PCNL was significantly less i.e. 71.81±12.89 minutes as compared to 85.79±13.94 minutes in RIRS. Post-operative complications were more in PCNL group than RIRS.

Conclusions: This study concluded that PCNL when compared to RIRS both have advantages and disadvantages according to size and location of stone, post-operative complications, stone free rate and operation cost. Judicious use of PCNL and RIRS should be done according to above mentioned parameters.

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Author Biographies

VISHWAS BAHETI, Department of Urology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.

Associate Professor, Department of Urology

PANKAJ TRIVEDI, Department of Urology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.

Consultant surgeon, Department of Surgery

UDAY DOBARIA, Department of Surgery, HCG Hospital, Ahmedabad, Gujarat, India.

Associate Professor, Department of General Surgery

FATEH SINGH MEHTA, Department of Surgery, Geetanjali University, Udaipur, Rajasthan, India.

Consultant Surgeon and President

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