A prospective comparative study of standard pcnl and tubeless pcnl

Aims and Objectives: The purpose of this study is to prospectively to evaluate efficacy and safety of tubeless PCNL in comparison to standard PCNL
Material and method: Forty patients prospectively evaluated, study period from January 2017 to January 2018, randomised into two groups 20 patients underwent standard PCNL and 20 patients tubeless PCNL(nephrostomy not paced). Djstenting done in both groups
Patient preoperative parameters including age, sex, laterality, BMI, stone size, location and maximum diameter of stones, number of calyces involved by the stones .Intra-operative parameters including the number of renal access used. Post-operative parameters including residual stones, visual analog pain score (0-10) as 1st recorded post-operativeday, analgesic requirements, duration of hospitalisation operation time, major/minor complications and stone-free
Results:The mean operation time in thestandard PCNL group (55±14min) was significantly higher than in the tubeless PCNL group (48±7.8min).The mean hospitalization time was significantly lower in the tubeless PCNL group (2.3+0.8days) than in the standard PCNL group (5.6+1.2days)Table 2. Postoperative pain assessed by VAS, pain score for tubeless PCNL is 2.5+0.4 and standard PCNL 4.5+0.5. Postoperative pain is less in tubeless PCNL compare to standard PCNL. In our study, inj.Tramadol 50mg administer for postoperative pain, analgesic dose need is lower in tubeless PCNL (4± 0.5days) compare to standard PCNL (1.8±0.5days).
Conclusion: Post-operative pain, analgesic requirements, duration of inpatient stay were all significantly reduced in the tubeless PCNL group. There was no significant difference between groups regarding stone-free status.