Table of Contents Author Guidelines Submit a Manuscript
Advances in Urology
Volume 2014 (2014), Article ID 423730, 3 pages
http://dx.doi.org/10.1155/2014/423730
Clinical Study

Postpercutaneous Nephrolithotomy Nephrostogram: Is It Mandatory? A Single Center Experience

Department of Urology, Sir Ganga Ram Hospital, New Delhi 110060, India

Received 7 July 2013; Revised 27 October 2013; Accepted 14 November 2013; Published 3 February 2014

Academic Editor: James A. Brown

Copyright © 2014 Abdul Rouf Khawaja et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims and Objective. “Postpercutaneous nephrolithotomy nephrostogram” (PPNN) is routinely performed in most of the centers. No published series could be found in the literature without post percutaneous nephrolithotomy nephrostogram. Hence, the aim of our study is to highlight that post percutaneous nephrolithotomy nephrostogram is not mandatory and it only adds to cost and morbidity without adding any information in the management of such patients. Methods. It was a prospective study from 2005 to 2012, conducted in our institute. It included 119 patients of renal stones who underwent percutaneous nephrolithotomy performed under the guidance of a single surgeon. Postoperative nephrostogram was not done in any of the patients. Results. Complete stone clearance was achieved in 97.5% of patients and 2.5% of patients needed two to three sessions of ESWL later on. None of the patients needed second look percutaneous nephrolithotomy or nephrostogram. Conclusion. Postpercutaneous nephrolithotomy nephrostogram increases chances of infection, inconvenience, contrast related complications, and cost, with no added advantage over plain X-ray KUB, and it should not be done as a routine investigation prior to the removal of PCN tube in patients with complete stone clearance.