Medical & Surgical Urology
Open Access
ISSN: 2168-9857
+44-77-2385-9429
ISSN: 2168-9857
+44-77-2385-9429
Gokhan Temeltas, Funda Kosova, Oktay Uçer, Talha Muezzinoglu and Zeki Ari
Posters-Accepted Abstracts: Med Surg Urol
Introduction & Objective: To perform an economic single step renal dilation during percutaneous nephrolithotomy (PCNL) using directly the 30F amplatz dilator over the central Alkan dilator in a trial to reduce the operative time and radiation exposure during renal dilation while avoiding exchange of dilators which may increase risk of blood loss. Materials and methods: Prospective randomized study including 49 patients divided into 2 arms, the first had renal dilation before PCNL using the standard metallic telescopic dilators(Alkanâ??s), the second arm had renal dilation using directly the 30F Amplatz dilator over the central Alkan. Operative time with x-ray exposure was calculated. Procedure outcome in terms of complications, stone free rates, and hospital stay was evaluated. Statistical analysis was done using the SPSS program. Results: Proper tract dilation was obtained in all cases. Operative time and X-ray exposure was shorter in patients undergoing single step dilation (P<0.05). Perioperative complications according to Clavien grading system occurred in 17(34%) patients yet no statistical difference in both arms. Stone free rates were comparable in all study group. Conclusion: Single step renal dilation when performing PCNL is feasible, with shorter Operative time and X-ray exposure. It shows outcomes comparable to standard metallic telescopic dilation.