Renal function evaluation after percutaneous nephrolithotomy in patients with solitary kidney

Authors

  • Hewa khalid Abdullah Rizgary Teaching Hospital, Erbil, Iraq.
  • Pishtewan Hashim Al Bazzaz Rizgary Teaching Hospital, Erbil, Iraq.

DOI:

https://doi.org/10.22317/imj.v5i2.1027

Keywords:

Percutaneous nephrolithotomy, solitary kidney, renal function

Abstract

Objective: To evaluate renal function change after percutaneous nephrolithotomy in patients with solitary kidney.

Methods: A prospective study conducted in the urology department at Rizgary Teaching Hospital for a period of 15 months from first of June 2018 until the end of August 2019. It included nine adult patients, all of them with solitary kidney and undergone percutaneous nephrolithotomy for management of renal calculi. Patients were considered to have a solitary kidney in case of congenital abnormality, contralateral nephrectomy, or solitary functioning kidney with contralateral atrophy (relative function < 10%). All patients were received prophylactic antibiotics (Ceftriaxone) at induction of anesthesia. All percutaneous nephrolithotomy procedures performed under general anesthesia in the prone position. Serum creatinine and creatinine clearance before the operation, at day one and day 21 postoperatively, operation time, duration of hospitalization, and postoperative complications recorded.

Results: In this study, Means of serum creatinine at 1 day and 21 days postoperatively were significantly decreased compared to preoperative s. creatinine level Mean of creatinine clearance significantly increased after 21 days postoperatively compared to preoperative test, while no significant change in creatinine clearance after one day postoperatively.

Conclusion: Generally, percutaneous nephrolithotomy considered as a safe and effective option for treatment of renal stones in solitary kidney patients considering the overall rate of complications and minimal morbidity. Moreover, significant renal function improvement anticipated in the early postoperative period.

References

1. Reesink DJ, Scheltema J, Barendrecht M, Boeken Kruger A, Jansonius A, Wiltink J, et al. Extracorporeal shock wave lithotripsy under intravenous sedation for treatment of urolithiasis. Scandinavian journal of urology. 2018;52(5-6):453-8.
2. Bowen DK, Tasian GE. Pediatric stone disease. Urologic Clinics. 2018;45(4):539-50.
3. Jobs K, Rakowska M, Paturej A. Urolithiasis in the pediatric population-current opinion on epidemiology, patophysiology, diagnostic evaluation and treatment. Developmental period medicine. 2018;22(2):201-8.
4. Bauza J, Pieras E, Grases F, Tubau V, Guimerà J, Sabaté X, et al. Urinary tract infections etiopathogenic role in nephrolithiasis formation. Medical hypotheses. 2018; 118:34-5.
5. Brisbane W, Bailey MR, Sorensen MD. An overview of kidney stone imaging techniques. Nature Reviews Urology. 2016;13(11):654.
6. Wiener SV, Ho SP, Stoller ML. Beginnings of nephrolithiasis: insights into the past, present and future of Randall's plaque formation research. Current opinion in nephrology and hypertension. 2018;27(4):236-42.
7. Ganpule AP, Vijayakumar M, Malpani A, Desai MR. Percutaneous nephrolithotomy (PCNL) a critical review. International Journal of Surgery. 2016;36:660-4.
8. Rastinehad AR, Andonian S, Smith AD, Siegel DN. Management of hemorrhagic complications associated with percutaneous nephrolithotomy. Journal of endourology. 2009;23(10):1763-7.
9. Kupajski M, Tkocz M, Ziaja D. Modern management of stone disease in patients with a solitary kidney. Videosurgery and Other Miniinvasive Techniques. 2012;7(1):1.

10. Campbell MF, Wein AJ, Kavoussi LR. Campbell-Walsh urology: editor-in-chief, Alan J. Wein; editors, Louis R. Kavoussi...[et al.]. Urology: WB Saunders; 2007.
11. World Health Organization. Body Mass Index. 2018.
12. Giusti G, Proietti S, Cindolo L, Peschechera R, Sortino G, Berardinelli F, et al. Is retrograde intrarenal surgery a viable treatment option for renal stones in patients with solitary kidney? World journal of urology. 2015;33(3):309-14.
13. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. European Urology. 2016;69(3):475-82.
14. Resorlu B, Kara C, Oguz U, Bayindir M, Unsal A. Percutaneous nephrolithotomy for complex caliceal and staghorn stones in patients with solitary kidney. Urological research. 2011;39(3):171-6.
15. Fabio C. GPP, Giovanni S. Marchini, Fabio C. et al. Percutaneous nephrolithotomy in patients with solitary kidney: a critical outcome analysis. Int Braz J Urol. 2015; 41: ((3)):496-502.
16. Desai M GA. Management of the staghorn calculus: multiple-tract versus single-tract percutaneous nephrolithotomy. Curr Opin Urol. 2008; 18:220-3.
17. Canes D, Hegarty NJ, Kamoi K, Haber G-P, Berger A, Aron M, et al. Functional Outcomes Following Percutaneous Surgery in the Solitary Kidney. The Journal of Urology. 2009;181(1):154-60.
18. Wong KA, Sahai, A., Patel, A., Thomas, K., Bultitude, M., Glass, J. Is Percutaneous Nephrolithotomy in Solitary Kidneys Safe? Urology,. 2013;82( (5),):1013-6.
19. Bai Y, Wang X, Yang Y, Han P, Wang J. Percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of kidney stones up to 2 cm in patients with solitary kidney: a single centre experience. BMC Urology. 2017;17(1):9.
20. Akman T, Binbay M, Tekinarslan E, Ozkuvanci U, Kezer C, Erbin A, et al. Outcomes of percutaneous nephrolithotomy in patients with solitary kidneys: a single-center experience. Urology. 2011;78(2):272-6.

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Published

2021-06-26

How to Cite

Abdullah, H. khalid, & Al Bazzaz, P. H. (2021). Renal function evaluation after percutaneous nephrolithotomy in patients with solitary kidney. Iraq Medical Journal, 5(2). https://doi.org/10.22317/imj.v5i2.1027

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