Akademik Veri Yönetim Sistemi
Current Urology, cilt.4, sa.1, ss.33-36, 2010 (Scopus)
Introduction: We investigated the efficacy of nephrostomy balloon catheter inflation in the access tract for the control of bleeding after percutaneous nephrolithotomy (PCNL). Materials and Methods: Sixty five patients who had undergone PCNL for kidney stones in our clinic between April 2006 and July 2008 were included in the study. Patients have been selected consecutively and randomized in 2 groups. In the first group which consisted of 33 patients (Group I), a 16 Ch nephrostomy tube has been left in the tract following PCNL. The second group consisted of 32 patients (Group II) and the nephrostomy balloon catheter was inflated at 10 atmosphere pressure at the end of the procedure and left in the tract for 24 h postoperatively. Preoperative and postoperative hemoglobin values at 24 h were compared statistically with regard to bleeding between both groups. Results: Average hemoglobin values at postoperative 24 h were 9.28 g/dl in the first and 10.65 g/dl in the second group. The difference between the 2 groups was statistically significant (p < 0.001). Conclusions: Inflation of nephrostomy balloon catheter in the access tract after PCNL is a safe and useful method for the control of bleeding. Copyright © 2010 S. Karger AG.