PCNL monotherapy for staghorn stones: Sohag faculty of medicine experience.
Background: PCNL as monotherapy for renal staghorn stones is challenging for urologists to attain complete clearance of all calculi. The purpose of this study is to evaluate the efficacy and safety of PCNL for renal staghorn stones.
Methods: Study was initiated on June 2017 - June 2018 by recording the data of 32 patients with staghorn stones to do PCNL as a single or multiple sessions till complete clearance of the stones was achieved (20 males, 12 females), age range of 15-63 years, Right-sided stones were in 18 cases and left-sided stones in 14 cases. Recurrent stones were in 12 patients. Intraoperative and early postoperative complications, blood transfusion and hospital stay were recorded. The data were analyzed SPSS for Windows version 20.
Results: Mean age was 39.88 ± 13.5 years. Mean operative time was 58.75 ± 24.8 minutes. The range of hospital stay was 1-10 days. Bleeding was the most common complication( 25%) of cases. The stone clearance status of percutaneous nephrolithotomy monotherapy after only one session was achieved in 22 cases (68.75%). Second session was needed in 6 cases to achieve complete clearance. Other auxiliary measures needed in 4 cases.
Conclusions: Percutaneous nephrolithotomy for treatment of renal staghorn stones is a safe and effective choice to achieve a reasonable Stone free rate with minimal morbidity.