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Title: Outcome from percutaneous nephrolithotomy in patients with spinal cord injury, using a single-stage dilator for access.
Austin Authors: Lawrentschuk, Nathan;Pan, David;Grills, Richard;Rogerson, John;Angus, David;Webb, David R;Bolton, Damien M 
Affiliation: University of Melbourne, Department of Surgery, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Aug-2005
Publication information: BJU International; 96(3): 379-84
Abstract: To present our experience of percutaneous nephrolithotomy (PCNL) for treating urolithiasis in patients with spinal cord injury (SCI) using a single-stage dilator for percutaneous access.A prospective database of patients with SCI having PCNL using the single-stage dilator was assessed, analysing patient data, stone-free rates, morbidity and the follow-up outcome.In all, 26 patients had 54 PCNLs on 32 kidneys; 20 had unilateral and six bilateral stone disease; there were many staghorn calculi (24/54). Major complications occurred in three of 54 PCNLs (6%). The complete stone-clearance rate was 87% for PCNL alone, rising to 29 of 32 kidneys (91%) or 24 of 26 patients (92%) with adjuvant procedures. A further three kidneys required no further treatment and were monitored, having residual fragments of < or = 2 mm.PCNL has a high success rate and acceptable complication rate compared to extracorporeal shock-wave lithotripsy, and remains a valid first-line treatment option for kidney stones in patients with SCI.
Gov't Doc #: 16042734
DOI: 10.1111/j.1464-410X.2005.05635.x
Type: Journal Article
Subjects: Dilatation.instrumentation.methods
Equipment Design
Kidney Calculi.therapy
Middle Aged
Nephrostomy, Percutaneous.instrumentation.methods
Prospective Studies
Spinal Cord Injuries.complications
Treatment Outcome
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