Single institutional study on tubeless percutaneous nephrolithotomy


  • Arun Sengamuthu Department of General Surgery, Jagjivan Ram Railway Hospital, Mumbai, Maharashtra, India
  • A. K. Sharma Department of General Surgery, Jagjivan Ram Railway Hospital, Mumbai, Maharashtra, India
  • Alap Vinay Mehendale Consultant Urologist and Renal Transplant Surgeon, Jagjivan Ram Railway Hospital, Mumbai, Maharashtra, India



Percutaneous nephrolithotomy, Renal stones, Tubeless


Background: The occurrence of renal stone is increasing which affect 10% of population with recurrence being 70% in affected patients. Tubeless PCNL is the mainstay of treatment in the management of large and complex stones. This study was conducted to evaluate the efficacy, feasibility and safety of tubeless PCNL.

Methods: This study was conducted in the department of general surgery, Jagjivan Ram Railway Hospital, Mumbai over a period of one year from March 2019-Febuarary 2020. During this period 50 patients underwent tubeless PCNL for renal stones.

Results: Among 50 patients 56% were in the age group of 46-60 years. Most common presenting complaint being flank pain (94%). About 86% of patient had complete stone clearance following tubeless PCNL. Post operative blood transfusion required in 10% of patients. The mean hospital stay was 2.12 days. Most common post operative complication were fever.

Conclusions: Tubeless PCNL is a very safe and effective treatment for renal stones.

Author Biography

Arun Sengamuthu, Department of General Surgery, Jagjivan Ram Railway Hospital, Mumbai, Maharashtra, India

Department of General Surgery,

Junior Resident


Williams SK, Hoenig DM. Synchronous bilateral percutaneous nephrolithotomy. J Endourol. 2009;23:1707-12.

Rupel E, Brown R. Nephroscopy with removal of stone following nephrostomy for obstructive calculus anuria. J Urol. 1941;46:177-9.

Wong MY. An update on percutaneous nephrolithotomy in the management of urinary stone. Curr Opin Urol. 2001;11:367-72.

Goodwin WB, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. JAMA. 1955;157:891-904.

Fernstrom I, Johannson B. Percutaneous nephrolithotomy: a new extraction technique. Scand J Urol Nephrol. 1976;10:257-61.

Smith NC, Hegarty N, Glass J, Thomas K. 824 novel system for grading complexity of PCNL procedures: the ‘guzy’s stone score’. Eur Urol Suppl. 2009;4(8):326.

Thomas K, Smith NC, Hegarty N, Glasse JM. The Guy’s stone score- grading the complexity of PCNL procedures. Urology. 2011;78(2):277-81.

Wickham JE, Kellet MJ. Percutaneous nephrolithotomy. Br J Urol. 1981;53:297-9.

Sivalingam S, Al-Essawi T, Hosking D. Percutaneous nephrolithotomy with retrograde nephrostomy access: a forgotten technique revisited. J Urol. 2013;189:1753-6.

Jung GH, Jung JH, Ahn TS, Lee JS, Cho SY, Jeong CW, et al. Comparison of retrograde intrarenal surgery versus a single-session percutaneous nephrolithotomy for lower-pole stones with a diameter of 15 to 30 mm: a propensity score-matching study. Korean J Urol. 2015;56:525-32.

Manzoor MA, Mujeeburahiman M, Rekha PD. Association of serum biochemical panel with mineralogical composition of kidney stone in India. Acta Med Int. 2017;4(2):26.

Sohgaura A, Bigoniya P. A review on epidemiology and etiology of renal stone. Am J Drug Discov Dev. 2017;7(2):54-62.

Homayounieh F, Doda Khera R, Bizzo BC, Ebrahimian S, Primak A, Schmidt B, et al. Prediction of burden and management of renal calculi from whole kidney radiomics: a multicenter study. Abd Radiol. 202;46(5):2097-106.

Thomas K, Smith NC, Hegarty N and Glasse JM; The Guy’s stone score- grading the complexity of PCNL procedures. Urology. 2011;78(2):277-81.

Kumar U, Tomar V, Yadav SS, Priyadarshi S, Vyas N, Agarwal N, et al. STONE score versus Guy’s Stone Score-prospective comparative evaluation for success rate and complications in percutaneous nephrolithotomy. Urol Ann. 2018;10(1):76.

Khadgi S, Darrad M, El-Nahas AR, Al-Terki A. Tubeless mini-percutaneous nephrolithotomy for renal stones larger than 20 mm. Indian J Urol. 2021;37(1):54-8.

Bhat S, Lal J, Paul F. A randomized controlled study comparing the standard, tubeless, and totally tubeless percutaneous nephrolithotomy procedures for renal stones from a tertiary care hospital. Indian J Urol. 2017;33:310-4.

Bhangu GS, Bansal D, Shah AS, Vyas N, Priyadarshi S, Sharma KK. Totally tubeless percutaneous nephrolithotomy: one year single institute prospective study. Int Surg J. 2017;4:224-8.

Lai WH, Jou YC, Cheng MC, Shen CH, Lin CT, Chen PC, et al. Tubeless percutaneous nephrolithotomy: Experience of 1000 cases at a single institute. Urol Sci. 2017;28(1):23-6.






Original Research Articles