Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis
Percutaneous nephrolithotomy (PCNL) is the gold standard for large and complex renal stone despite other available modalities. PCNL techniques have been evolved with many modifications and innovation in the recent decade. It can be safely performed in elderly patient and children with highest stone-...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Urology Annals |
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| Online Access: | https://journals.lww.com/10.4103/ua.ua_102_24 |
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| author | Bimalesh Purkait Himadri Pathak Kaushik Sarkar Argha Mondal Sachin Kumar Karnwal Anjan Kumar Das |
| author_facet | Bimalesh Purkait Himadri Pathak Kaushik Sarkar Argha Mondal Sachin Kumar Karnwal Anjan Kumar Das |
| author_sort | Bimalesh Purkait |
| collection | DOAJ |
| description | Percutaneous nephrolithotomy (PCNL) is the gold standard for large and complex renal stone despite other available modalities. PCNL techniques have been evolved with many modifications and innovation in the recent decade. It can be safely performed in elderly patient and children with highest stone-free rate (SFR) among all other modalities. However, as PCNL is a blind procedure, chance of bleeding is very high than other surgical modalities. If patient already had, hematological problem, then perioperative risk of bleeding increased significantly. We are presenting few cases of PCNL in thrombocytosis child and young adult. This is a retrospective analysis of four renal stone patients from 2017 to 2024. Surgical outcomes such as SFR and complications were analyzed and discussed. There were no major perioperative bleeding problems in our study. Mild-to-moderate thrombocytosis does not pose extra risk to bleeding. However, hematology opinion and informed decision are needed for risk stratification before performing PCNL. |
| format | Article |
| id | doaj-art-441c7580ac4d402daae76867916d4d4f |
| institution | Kabale University |
| issn | 0974-7796 0974-7834 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj-art-441c7580ac4d402daae76867916d4d4f2025-08-20T03:59:22ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342025-07-0117320120510.4103/ua.ua_102_24Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysisBimalesh PurkaitHimadri PathakKaushik SarkarArgha MondalSachin Kumar KarnwalAnjan Kumar DasPercutaneous nephrolithotomy (PCNL) is the gold standard for large and complex renal stone despite other available modalities. PCNL techniques have been evolved with many modifications and innovation in the recent decade. It can be safely performed in elderly patient and children with highest stone-free rate (SFR) among all other modalities. However, as PCNL is a blind procedure, chance of bleeding is very high than other surgical modalities. If patient already had, hematological problem, then perioperative risk of bleeding increased significantly. We are presenting few cases of PCNL in thrombocytosis child and young adult. This is a retrospective analysis of four renal stone patients from 2017 to 2024. Surgical outcomes such as SFR and complications were analyzed and discussed. There were no major perioperative bleeding problems in our study. Mild-to-moderate thrombocytosis does not pose extra risk to bleeding. However, hematology opinion and informed decision are needed for risk stratification before performing PCNL.https://journals.lww.com/10.4103/ua.ua_102_24hematuriapercutaneous nephrolithotomyrenal stonethrombocytosis |
| spellingShingle | Bimalesh Purkait Himadri Pathak Kaushik Sarkar Argha Mondal Sachin Kumar Karnwal Anjan Kumar Das Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis Urology Annals hematuria percutaneous nephrolithotomy renal stone thrombocytosis |
| title | Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis |
| title_full | Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis |
| title_fullStr | Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis |
| title_full_unstemmed | Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis |
| title_short | Is percutaneous nephrolithotomy in thrombocytosis patient safe? A retrospective case series analysis |
| title_sort | is percutaneous nephrolithotomy in thrombocytosis patient safe a retrospective case series analysis |
| topic | hematuria percutaneous nephrolithotomy renal stone thrombocytosis |
| url | https://journals.lww.com/10.4103/ua.ua_102_24 |
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