DOI: 10.36347/sjams.2021.v09i06.041

Pages: 1072-1077

Introduction: Renal stone disease is a challenging problem in urological practice because of large stone burden and high rate of recurrence. The primary goal of surgical stone management is to achieve maximum stone clearance with minimum morbidity to the patients. There are lot of uncertainty with renal stone management, many factors impact on management course, stone up to 10 mm can be pass on their own, roughly, the chance of a stone passing spontaneously is inversely to the size in millimeters. A 1mm stone passes 90% of the time, a 5 mm stone 50% of time, a 9 mm stone 10% of the time and so on. Objectives: The aim of this study was to evaluate the rate of stone clearance of supracostal and infracostal approaches and to identify the complications of two groups. Methods: This Quasi experimental study was carried out in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh Medical College Hospital, Popular Medical College and Hospital; and Barakah Kidney Hospital & Research Institute, Dhaka, during the period of February 2011 to January 2013, to compare the safety and efficacy between supracostal and infracostal upper pole approaches for PCNL. Results: Stone clearance was 94.29% in group I and 85.7% in group II, which was higher in group I but not statiscally significant (P>0.05). Hundred percent stone clearances were observed in patients who had stone size upto 3 cm in group I and 88.23% in group II. In patients who had stone size >3 cm the stone clearance was 89.4 % in group I and 83.33 % group II. Complications of percutaneous nephrolithotomy were found in 20.0% in group I and 22.9% in group II. Conclusion: In conclusion we can say that supracostal approach in a single session percutaneous nephrolithotomy is not safe and effective then infracostal approach.