Indonesian Journal of Urology
Vol 33 No 2 (2026)

RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY FOR RENAL TUBERCULOSIS: A META-ANALYSIS AND SYSTEMATIC REVIEW

Ariandy, Zaky (Unknown)
Nugroho, Firman (Unknown)



Article Info

Publish Date
20 May 2026

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.

Copyrights © 2026






Journal Info

Abbrev

juri

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

The aim of Indonesian Journal of Urology is to encompass the whole spectrum of urology. The journal publishes papers on a wide range of urological issues such as oncology, functional urology, reconstructive urology, laparoscopy, robotic surgery, endourology, female urology, andrology, pediatric ...