Factors influencing the duration of urine leakage following percutaneous nephrolithotomy

Abstract

Purpose. The duration of urine leakage following the removal of the nephrostomy tube after percutaneous nephrolithotomy (PCNL) shows significant variations depending on the techniques used. We aimed to assess the factors likely to influence the duration of urine leakage. Material and Methods. In total, 103 patients who underwent PCNL were reviewed retrospectively. DUL was evaluated regarding patient characteristics, thickness of the access line, presence of hydronephrosis, and residual stones. Results. DUL was significantly prolonged in accordance with a decrease in the thickness of parenchyma tissue (R=-0.716, P<0.001). DUL was prolonged as the degree of hydronephrosis (R=0.526, P<0.001) and the number of patients with residual stones (R=0.273, P=0.005) increased. Median DUL was significantly longer in patients with residual stones than those without residual stones (P=0.002). In the receiving operating curve analysis, the optimum cut-off value of parenchymal thickness for hospitalization ≤12 h was 17.2 mm (sensitivity, 90.2%; specificity, 69.4%; P=0.001). Conclusions. We found that parenchymal thickness of the access line, hydronephrosis, and residual stones were the most influential factors determining DUL following PCNL, respectively. © 2014 Ugur Uyeturk et al.