Anatrophic Nehphrolithotomy: Preservation of Renal Function and Stone Clearance Rate

Aim: To assess the outcomes of anatrophic nephrolithotomy in terms stone clearance and change renal function. Study design: Observational study Place duration study: Department Urology Sindh Institute & Transplantation, Karachi from 1st January 2016 to 31st December 2021. Methodology: Fifty patients who underwent were enrolled. Outcomes measured clearance, pre post procedure eGFR, serum creatinine differential function on scan (MAG-3 scan). Results: There 30 (60%) males 20 (40%) females with mean age was 5.96±13.09 years. Post-operative eGFR compared pre-operative values no statistically significant difference observed. Comparison post-operative 99mTc-mercaptoacetyltriglycine (MAG3) scans revealed mild loss p-value of0.376. Conclusion: Anatrophic can be an alternative for multi tract PCNL when there is huge burden as it yields excellent practiced fearlessly large staghorn stones because they become frequent cause infections mortality. Although parenchymal damage after concern, dysfunction usually clinically insignificant. Key words: nephrolithotomy, Staghorn stone, Renal calculi