Abstract
We aim to explore the practice of who makes the PCNL tract in the UK and Northern Ireland as well as presenting our data for two different approaches to PCNL tracts in Northern Ireland. A national questionnaire survey was carried out across the National Health Services hospitals in UK. In addition, a retrospective analysis of 134 PCNL cases was carried out. Group I included 103 (77%) cases with urologist-made tracts, while group II included 31 (23%) cases with radiologists-made tracts. The survey suggested that 45% (42) of the hospitals adopted a radiologist-made tract, 44% (41) use urologist-made tract, while the remaining 11% (11) use both. Most of the radiologists’ performed tracts in our series were for complex cases. Failed access occurred in 6 (5.8%) in group I and none in Group II. The overall stone-free rate was 92 and 50% for group I and II, respectively. There is a better stone clearance rate in Group I (p = 0.0016). This however is likely to be attributed to the complexity of the cases in group II. However, urologist made percutaneous tract is safe and efficacious but a team approach with radiology is needed for more complex cases.
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References
Rupel E, Brown R (1941) Nephroscopy with removal of stone following nephrostomy for obstructive calculus anuria. J Urol 46:177–182
Fernstrom I, Johansson B (1976) Percutaneous pyelolithotomy: a new extraction technique. Scand J Urol Nephrol 10:257–259
Goodwin WE, Casey WC, Woolf W (1955) Percutaneous trocar (needle) nephrostomy in hydronephrosis. JAMA 157:891
White EC, Smith AD (1984) Percutaneous stone extraction from 200 patients. J Urol 132:437–438
Wickham JE, Kellett MJ (1981) Percutaneous nephrolithotomy. BJU 53(4):297–299
Alken P, Hutschenreiter G, Gunther R et al (1981) Percutaneous stone manipulation. J Urol 125:463–466
Chaussy C, Brendel W, Schmeidt E (1980) Extracorporeally induced destruction for kidney stones by shock waves. Lancet 2(8207):1265–1268
Lawrentschuk N, Pan D, Grills R et al (2005) Outcome from percutaneous nephrolithotomy in patients with spinal cord injury, using a single-stage dilator for access. BJU Int 96:379–384
Michel MS, Trojan L, Rassweiler JJ (2007) Complications in percutaneous nephrolithotomy. Eur Urol 51:899–906
de la Rosette JJ, Laguna MP, Rassweiler JJ et al (2008) Training in percutaneous nephrolithotomy—a critical review. Eur Urol 54:994–1001
Lashley DB, Fuchs EF (1998) Urologist-acquired renal access for percutaneous renal surgery. Urology 51(6):927–931
Mahaffey KG, Bolton DM, Stoller ML (1994) Urologist directed percutaneous nephrostomy tube placement. J Urol 152:1973–1976
Stoller ML, Wolf JS Jr, St. Lezin MA (1994) Estimated blood loss and transfusion rates associated with percutaneous nephrolithotomy. J Urol 152:1977–1981
Masood J, Yeo L, Zaman F et al (2009) Should urologists in the UK undertake their own nephrostomies and renal access for endourological procedures: What does the future hold? BJU Int 104(6):755–757
Matouscheck E (1989) Urologic endoscopic surgery. In: S. Leoing, B.C. Decker (eds). Philadelphia
Segura JW, Patterson DE, Le Roy AJ et al (1985) Percutaneous removal of kidney stones: review of 1000 cases. J Urol 134:1077–1081
Symons S, Biyani CS, Bhargava S et al (2006) Challenge of percutaneous nephrolithotomy in patients with spinal neuropathy. Int J Urol 13:874–879
Culkin DJ, Wheeler JS, Nemchausky BA et al (1986) PCNL in SCI population. J Urol 136:1181–1183
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Aslam, M.Z., Thwaini, A., Duggan, B. et al. Urologists versus radiologists made PCNL tracts: the UK experience. Urol Res 39, 217–221 (2011). https://doi.org/10.1007/s00240-010-0338-6
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DOI: https://doi.org/10.1007/s00240-010-0338-6