The purpose of the study is to assess and compare the efficacy and morbidity standard percutaneous nephrolithotomy with tubeless PNL. A total of approximately 60 patients will be enrolled. Patients will be randomized to one of four groups: standard percutaneous nephrostomy, double-J ureteral stent, open-ended ureteral catheter and no nephrostomy or ureteral stent/catheter. Primary Outcome Measures will include length of procedure and estimated blood loss. Post-operative analgesic use (both parenteral and oral), pain scores, time to ambulation, time to oral intake, and pain scores will also be recorded. Time to nephrostomy tube removal, external ureteral and Foley catheter removal and patient discharge from the hospital will also be recorded. Incidence and type of post-operative complications will also be recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Percutaneous nephrolithotomy
Duke University Medical Center
Durham, North Carolina, United States
Length of hospital stay
measuring days of hospital stay after procedure, and the effect that the location of the puncture has on the length of hospital stay
Time frame: until hospital discharge, about 2-3 days
Change in CBC and Chemistry Panel
Loss of blood
Time frame: at time of hospital discharge, about 2-3 days
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