A case of micro-percutaneous nephrolithotomy with macro complication.
Percutaneous nephrolithotomy is accepted as the standard management approach for kidney stones that are either refractory to extracorporeal shock wave lithotripsy or are >2 cm in diameter. The recently developed micro-percutaneous nephrolithotomy (microperc) technique provides intrarenal access under full vision using an optic instrument with a smaller calibration. A lesser amount of bleeding has been reported with the use of this method. Here we present a case of a bleeding complication on postoperative day 15 after a microperc procedure used to treat a left kidney stone. The complication led to retention of bloody urine in the bladder and required transfusion of 5 units of whole blood.
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Onur
O
Dede
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Mazhar
M
Utangaç
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Mansur
M
Dağguli
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Namık Kemal
NK
Hatipoğlu
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Ahmet Ali
AA
Sancaktutar
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Mehmet Nuri
MN
Bodakçı
Bleeding; complication; micro-PNL