EXPERIENCE OF BILATERAL SYNCHRONOUS PERCUTANEOUS NEPHROLITHOLAPAXY (PCNL)
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Abstract
Objective: This case report will present bilateral synchronous percutaneous nephrolitholapaxy (PCNL) that was performed in Saiful Anwar General Hospital Malang for the first time. Case(s) Presentation: 49 years old male with flank pain on both sides continuously. Non contrast abdominal Computed Tomography (CT) scan showed bilateral pyelum stone and bilateral hydronephrosis. From blood analysis, the creatinine serum was 1.5 mg/dL and ureum serum was level 69.8 mg/dL. Discussion: Bilateral synchronous PCNL was performed in prone position, and stone fragmentation was done with pneumatic lithotripter, the operation last for about 2 hours with minimal amount of bleeding. After 3 months of follow-up, urology ultrasound and abdominal X-ray shows no residual stone, and normal ureum-creatinine level (0.77mg/dL; 43.7mg/dL). Conclusion: Bilateral synchronous PCNL is a safe choice to be done in order to treat bilateral pyelum stone, it can decrease length of stay , total cost therapy, and morbidity of the patient.
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Bilateral synchronous PCNL, Pyelum stone
Aref AA, Salah MA, Mahmoud AA, Ahmed Z, Rabie A, Ahmad E, Medhat MA, and Hussein AA. Percutaneous nephrolithotomy in the oblique supine lithotomy position and prone position: a comparative study. Journal of Endouro 2014; 28(9): 1058-63.
Jones MN, Ranasinghe W, Cetti R, Newell B, Chu K, Harper M, Kourambas J, and McCahy P. Modified supine versus prone percutaneous nephrolithotomy: Surgical outcomes from a tertiary teaching hospital. Investig Clin Urol. 2016; 57(4): 268–273.
Albala DM, et al. Lower pole 1: a prospective randomized trial of extracorporeal shockwave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis - initial results. Journal of Urology. 2001: 166: 2072.
Silverstein ARID, Terranova SA, Auge BK, Weizer AZ, Delvecchio FC, Pietrow PK, et al. Bilateral Renal Calculi : Assessment of Staged v Synchronous Percutaneous Nephrolithotomy. 2004; 18(2).
Satyagraha, P., Alluza, H. H. D., Daryanto, B., & Nurhadi, P. Prone vs Supine PCNL: What about the Cost? Journal of Medical - Clinical Research & Reviews. 2018; 2(6): 1–6.
Gonçalves S, Benito-martin A, Santamaría B, Ramos AM, Berzal S, Ruiz-ortega M, et al. Obstructive renal injury : from fluid mechanics to molecular cell biology. 2010; 41–55.
Darabi MR, Soltani S, Rezayat AA, Yousefi M, Kashefi M, Tavakkoli M, et al. Electronic Physician (ISSN : 2008-5842 ). 2018; (February): 6377–82.
Pillai S, Mishra D, Sharma P, Venkatfvesh G, Chawla A, Hegde P, et.al. Tubeless simultaneous bilateral percutaneous nephrolithotomy: Safety, feasibility and efficacy in an Indian setting. International Journal of Urology. 2014; 21(5): 497-502.
Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Thomas K, et al. EAU Guidelines on Urolithiasis. 2022.
Noegroho B, Daryanto B, Soebhali B, Kadar D, Soebady D et al. IAUI Guidelines on Urolithiasis. 2018
Duarsa, G. W. K., Tirtayasa, P. M. W., Pramana, I. B. P., Yudiana, I. W., Santosa, K. B., & Oka, A. A. G. Meta-Analysis of Laparoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy as a Treatment of Large Kidney Stones. Open Access Macedonian Journal of Medical Sciences. 2002; 10(F): 113–121.
Perez-Colon B, Roberto JC, Marjorie ER. Simultaneous Bilateral Nephrostolithotomies : Immediate Results in Three Cases. 1987; 1(3): 209–13.
Williams SK, Hoenig DM. Synchronous bilateral percutaneous nephrostolithotomy. J Endourol. 2009; 23: 1707–1712.