Outpatient tubeless percutaneous nephrolithotomy:the initial case series

  • Darren Beiko Department of Urology, Queen’s University, Kingston, ON
  • Linda Lee Department of Urology, Queen’s University, Kingston, ON

Abstract

Introduction: Percutaneous nephrolithotomy (PCNL) has traditionally
been performed on an inpatient basis. To the best of our
knowledge, this is the first report of tubeless PCNL on a completely
outpatient basis. The purposes of this study were to assess the safety
and efficacy of outpatient PCNL.

Methods: We reviewed the initial consecutive outpatient tubeless
PCNLs performed at our institution by a single surgeon. Patients
were discharged home the day of surgery only after meeting strict
discharge criteria. Preoperative, intraoperative and postoperative
data were collected prospectively.

Results: Outpatient tubeless PCNL was performed in 3 patients. The
mean maximum stone diameter was 14 mm. The average hospital
stay was 175 minutes. All 3 patients were discharged home in
stable condition after meeting all of the inclusion criteria. There
were no emergency room visits or hospital readmissions postoperatively.
The mean follow-up period was 47 days. All stones were
calcium oxalate and the stone free rate was 100%. There were no
minor or major complications.

Conclusion: In properly selected patients, outpatient tubeless PCNL
is safe and effective. Our initial experience with outpatient PCNL
has been favourable and warrants further investigation in a larger
patient population.

Author Biographies

Darren Beiko, Department of Urology, Queen’s University, Kingston, ON
Linda Lee, Department of Urology, Queen’s University, Kingston, ON
How to Cite
Beiko, D., & Lee, L. (1). Outpatient tubeless percutaneous nephrolithotomy:the initial case series. Canadian Urological Association Journal, 4(4), E86-E90. https://doi.org/10.5489/cuaj.886
Section
Case Series