A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) – A Randomized Controlled Study

Introduction: The tubeless percutaneous nephrolithotomy (PCNL) procedure is defined as non-placement of double-J stent at the end procedure. There are numerous advantages placement nephrostomy tube in standard PCNL like adequate renal drainage, tamponade effect for bleeding and relook PCNL. Aim: This study aims to determine effectiveness, safety, morbidity by comparing it technique. Methodology: It was a randomized controlled conducted over period two years from (October 2019 November 2021). All patients aged 18-65 age with stone size 1- 2.5cm who underwent our department were included. allocated into groups Group A (Tubeless PCNL) group B (Standard PCNL). randomization done block method sealed envelope system. Results: mean 37.94±12.7 39.38±11.91 years. (Group A20.56±2.87mm, B- 21.54±2.63) both comparable. operative time 47.68 min±5.27, 49.72min±5.18) insignificant result. drop haemoglobin A- 0.70gm% 0.79 gm %) requirement blood transfusion 5(10%) & 8(16%) patients. analgesia (inj. Tramadol (mg) 113 mg ±29.68 172 ±31.87 B) significant p value <0.0001. hospital stay A-3.42±0.72 B-4.2±0.49 days) comparison shows result clearance more than 90% result, P 0.7281. Conclusion: Tubeless an effective alternative potential decreased postoperative pain, requirement, stay.