Background: Percutaneous Nephrolithotomy as a management for complex renal stone, ways of nephroscope tract dilatation using single Amplatz dilator 30Fr vs Balloon dilation regarding effecacy and cost reduction.
Aim of the work: To evaluate the efficacy of Percutaneous Nephrolithotomy as a primary modality of treatment for complex renal stones, feasibility and safety of single step dilatation using Amplatz dilator versus Balloon dilatation in the Percutaneous Nephrolithotomy access.
Patient and Methods: This is a prospective study conducted on patients for whom percutaneous nephrolithotomy (PCNL) was done for the management of renal complex stones. The study was conducted at the Urology Department, Al Demerdash Hospitals, Ain Shams University and Nasser Institute Hospital during the period between 2016 and 2020.
Results: In our study regarding PCNL tract dilation, we found that there was no statistical difference between single step 30-Fr Amplatz dilatation and Balloon dilation; in operative time, early postoperative complications, stone free rate and hemoglobin decrease pre-post operative.
Conclusion: The use of single step Amplatz dilator 30-Fr for dilating renal access tract in PCNL is a time saving procedure, being safe, subjectively economical and an effective technique to gain renal access. We found no specific complication with this technique, and the morbidity rated were comparable with other modalities.