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Saima Riaz
Samreen Nanji
Elishba Akbar Gill
Nazia Alfred Fernandes
Syed Ziyad Furqan
Amir Sultan
Fayaz Ahmed
Javed Iqbal
Nazia Shuaib




Introduction: PNL is a safe and well-tolerated procedure for staghorn and large-volume renal calculi, upper tract calculi, difficult lower pole stones, cystine nephrolithiasis, and anatomically abnormal kidneys. The study was conducted with the aim of exploring the self-care practices and complications associated with PCNL among post-operative patients.

Methodology: A descriptive cross-sectional study was conducted in the tertiary care hospital of Peshawar, Pakistan, from October to December 2023. Data from 248 study participants was collected using a convenient sampling technique. Data was collected through a valid and reliable self-designed questionnaire that addressed self-care practices and postoperative complication. The data analysis was performed using SPSS 22, and the study was approved by the ethical review committee.

Results: The total number of participants was 248, with females being the majority at 129 (52%). The majority of patients (78.6%) perform hand washing and they remove old bandages during dressing changes. On the other side, the majority do not use gloves or anti-septic solution. However, 27% use sterile gauze, 29.8% keep bags lower, only 36.3% clean the bag and tube for urine collection, and only 29.8% empty bags after 2-3 hours. Infected wounds (40.7%), fever (46.2%), and pain (59.2%) were the most common complaints reported by the majority of the patients.

Conclusion: The study concluded that majority of the post-PCNL patient practices of were poor, while a good number of patient practices were satisfactory. Most patients reported infected wounds, fever, and pain, while little number reveals oozing, tube obstruction, transient hematuria, and dislodgement. Continuous educational programmes should be planned and offered on a regular basis for patients with PCNL.

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1. Mitropoulos D, Artibani W, Biyani CS, Bjerggaard Jensen J, Rouprêt M, Truss M. Validation of the clavien-dindo grading system in urology by the european association of urology guidelines ad hoc panel. Eur Urol Focus 2018; 4(4):608-13. DOI: 10.1016/j.euf.2017.02.014.
2. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol 2017; 35(9):1301-20. doi: 10.1007/ s00345-017-2008-6.
3. Wang WG, Babu SR, Wang L, Chen Y, Tian BL, He HB. Use of clavien-dindo classification in evaluating complications following pancreaticoduodenectomy in 1,056 cases: A retrospective analysis from one single institution. Oncol Lett 2018; 16(2):2023-2029.
doi: 10.3892/ol.2018.8798.
4. Zhou X, Sun X, Chen X, Xiaoxin Gong, Yong Yang, Congbo Chen, et al. Effect of obesity on outcomes of percutaneous nephrolithotomy in renal stone management: A systematic review and meta-analysis. Urol Int 2017; 98(4):382-90. doi: 10.1159/000455162.
5. Xu P, Wang J. Number of metabolic syndrome components is the central predictor of the impact of metabolic syndrome on outcome of percutaneous nephrolithotomy in staghorn nephrolithiasis. J Endourol 2019; 33(11):946-53. doi: 10.1089/end.2019.0404.
6. Wah TM, Weston MJ, Irving HC. Percutaneous nephrostomy insertion: outcome data from a propspective multi-operator study at a UK training centre. Clinical radiology. 2004 Mar 1;59(3):255-61.
7. Tuttle DN, Yeh BM, Meng MV, Breiman RS, Stoller ML, Coakley FV. Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT. Journal of vascular and interventional radiology. 2005 Nov 1;16(11):1489-92.
8. Kim BS. Recent advancement or less invasive treatment of percutaneous nephrolithotomy. Korean J Urol. 2015;56(9):614-23.
9. Buachuen S. Post-operative Nursing Care for Patients Undergoing Percutaneous Nephrostomy for Treatment of Obstruction Uropathy. Journal of Nursing Science and Health. 2022;45(1):117-27.
10. Barnard Health care| Emergency Medicine: (Complications of Percutaneous Nephrostomy Tubes Last Updated on Sun,). 2019-31 Mar.
11. Davidoff R, Bellman GC. Influence of technique of percutaneous tract creation on incidence of renal hemorrhage. J Urol. 1997;157(4):1229-31.
12. Labate G, Modi P, Timoney A, et al. The percutaneous nephrolithotomy global study: Classification of complications. J Endourol. 2011;25:1275–80.
13. Yu DS. Gelatin packing of intracortical tract after percutaneous nephrostomy lithotripsy for decreasing bleeding and urine leakage. J Chin Med Assoc 2006;69:162–165.
14. Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn G. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC research notes. 2019 Dec;12:1-7.
15. Mohammed SM. Knowledge and Self-care Practices among Patients Undergoing Percutaneous Nephrostomy Tube. Helwan International Journal for Nursing Research and Practice. 2023 Jun 1;2(1):180-90.
16. Mahmoud MH, Ramadan EN, Taha AS. Effectiveness of self-care intervention for patients with urolithiasis on their practices regarding nutrition. American Journal of Nursing Research. 2019;7(5):856-69.
17. Iqbal N, Hasan A, Malik HA, Khan R, Nazar A, Khawaja MA. A comparison of complications and success rates after PCNL in younger and elderly patients. J Coll Physicians Surg Pak. 2020 Dec 1;30(12):1316-20.
18. Reddy SV, Shaik AB. Outcome and complications of percutaneous nephrolithotomy as primary versus secondary procedure for renal calculi. International braz j urol. 2016 Mar;42:262-9.
19. Kumar S, Keshavamurthy R, Karthikeyan VS, Mallya A. Complications after prone PCNL in pediatric, adult and geri atric patients - a single center experience over 7 years. Int Braz J Urol 2017; 43(4):704-712. doi: 10.1590/S1677-5538. IBJU.2016.0563.
20. De la Rosette J, Assimos D, Desai M, et al. The Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study: indications, complications, and outcomes in 5803 patients. J Endourol 2011;25:11-7.
21. Shin TS, Cho HJ, Hong SH, et al. Complications of Percutaneous Nephrolithotomy Classified by the Modified Clavien Grading System: A Single Center’s Experience over 16 Years. Korean J Urol 2011;52:769-75.
22. De la Rosette JJ, Opondo D, Daels FP, et al. Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. Eur Urol 2012;62:246-55.

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