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All Journal Indonesian Journal of Urology Cendana Medical Journal
Ariandy, Zaky
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Health Professions Medicine & Pharmacology Public Health

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Percutaneous Nephrolithotomy For Staghorn Stones: A Minimally Invasive Approach In A Region With Elevated Kidney Stone Risk Putera, Dewa Gede Agung Sasmara; Ariandy, Zaky; Telussa, Arley Sadra
Cendana Medical Journal Vol 13 No 2 (2025): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v13i2.22406

Abstract

A 41-year-old male with a 2-month history of left-sided abdominal pain and renal stones was treated at Prof. W. Z. Johannes Hospital, East Nusa Tenggara, Indonesia. The patients’ primary drinking water sources were rivers and refillable bottles, which elevated the risk of kidney stones. Plain radiography and MSCT imaging revealed a 5 cm x 3.5 cm staghorn stone in the left kidney. Percutaneous nephrolithotomy (PCNL) was performed in the supine position using the C-arm. A nephroscope was inserted through a small incision to visualize and extract the stone. Post-extraction, C-arm imaging assessed the kidney, and a nephrostomy tube was placed for drainage. Staghorn stones are large, branched stones that occupy much of the renal pelvis or calyces. The European Association of Urology (EAU) recommends PCNL as the first-line treatment for staghorn stones due to its high efficacy and low morbidity. PCNL, a minimally invasive approach, offers high stone-free rates, up to 95%, making it effective for stones over 20 mm. The patient's successful outcome highlights the efficacy of PCNL in managing staghorn stones, especially in areas with a high risk of kidney stones due to poor water quality. Early diagnosis and treatment avert severe complications such as recurrent infections and urosepsis.
RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY FOR RENAL TUBERCULOSIS: A META-ANALYSIS AND SYSTEMATIC REVIEW Ariandy, Zaky; Nugroho, Firman
Indonesian Journal of Urology Vol 33 No 2 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i2.983

Abstract

Introduction: Renal tuberculosis is one of the most common form of urogenital tuberculosis. Objective: This study aims to compare the outcomes of retroperitoneal laparoscopic nephrectomy (RLN) compared to other surgical approaches for treating renal tuberculosis. Material & Methods: A comprehensive search of the scientific literature was conducted using databases such as PubMed, Scopus, ScienceDirect, and Cochrane to identify randomized controlled trials (RCTs) as well as prospective and retrospective studies comparing the effectiveness of RLN with other treatments (transperitoneal laparoscopic nephrectomy and open surgery) in the management of renal tuberculosis. Data from the included studies were pooled and analyzed. Results: A total of 6 cohort studies were incorporated into this meta‐analysis. The overall RLN was associated with a significantly shorter length of stay (WMD: −1.92; 95% CI: −3.22, - 0.62; p = 0.004). The terms of operative duration (p = 0.56), blood loss (p = 0.59), and overall complications (p = 0.76) did not show any differences. The present meta-analysis has limitations that need to be considered. The limited number of research studies may have impacted the statistical findings, and all the studies included were observational, which may have resulted in bias. Blinding was not implemented, and there was high heterogeneity in some outcomes, which may have affected the accuracy of the results. Recalculating the mean and standard deviation could have introduced bias. Conclusion: RLN shows a potential advantage regarding the lower length of stay. Keywords: Urogenital tuberculosis, nephrectomy, laparoscopy.
Co-Authors Arley Sadra Telussa Firman Nugroho Putera, Dewa Gede Agung Sasmara