Background Urinary stone disease is associated with renal impairment because of obstruction and infection. Comorbidities include hypertension, dyslipidemia, diabetes, and impaired renal function. Furthermore, as recurrences are common in urolithiasis, such patients undergo many treatments throughout their life. Percutaneous nephrolithotomy (PCNL) is an effective treatment for renal stones with a diameter greater than 2 cm. The primary objective of this study was to observe the mean changes in estimated glomerular filtration rate (GFR) in patients undergoing PCNL having renal stone disease. Methodology This cross-sectional study was conducted for six months between June and November 2020 at a tertiary care hospital in Karachi, Pakistan. All male and female patients aged between 15 and 70 years who were diagnosed with renal stones using X-ray of the kidney, ureter, and bladder or using ultrasound of the abdomen and planned for PCNL were selected. Patients with any duration of kidney stone disease were included. Statistical Package for Social Sciences version 20.0 (IBM Corp., Armonk, NY, USA) was used to statistically analyze the data. Results The mean age of the patients was 41.11 ± 14.30 (17-70) years. A total of 61 (38.1%) patients were female and 99 (61.9%) were male. Mean preoperative GFR was 91.22 ± 5.88 mL/min which decreased to 83.64 ± 5.70 mL/min at 48 hours post-PCNL. GFR significantly decreased after surgery (p = 0.0001). Conclusions During early postoperative days, GFR was decreased in patients undergoing PCNL. Factors that may impair renal function should be avoided during the first few days after undergoing PCNL. Further large-scale studies are needed to investigate these changes in GFR in post-PCNL patients.
Cureus. 2021 Feb 13*** epublish ***
Sikandar Ali, Sajjad Ali, Umar Farooque, Saima Iqbal, Fnu Farukhuddin, Rizwan Farooque, Kubiat Effiong, Kuseme Effiong, Muhammad Daim Bin Zafar, Mostafa A Shehata
Urology, Sindh Institute of Urology and Transplantation, Karachi, PAK., Neurology, Dow University of Health Sciences, Karachi, PAK., Obstetrics and Gynaecology, Civil Hospital Karachi, Karachi, PAK., Neurology, University Hospital Cleveland Medical Center, Cleveland, USA., Internal Medicine, Sindh Medical College, Karachi, PAK., Internal Medicine, V.N. Karazin National Medical University, Kharkiv, UKR., Internal Medicine, Kharkiv National Medical University, Kharkiv, UKR., Internal Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK., Medicine and Surgery, Alexandria Faculty of Medicine, Alexandria, EGY.