Pyelolithotomy
Pyelolithotomy procedure is urological procedure which is now uncommonly performed. The advent of percutaneous nephrolithotomy with contact lithotripsy (PCNL) and extracorporeal shockwave lithotripsy (ESWL) has reduced the indications for pyelolithotomy, which is a considerably more invasive procedure.
It is motivating to note that when surgeons were Ist performing pyelolithotomy, considerable disagreement as to which was the preferred approach to stone removal.
Diagnosis For Pyelolithotomy
- The usual presenting symptom for renal calculi is radiating colicky flank pain, usually associated with hematuria.
- Larger stones, however, may be relatively asymptomatic or present with persistent infection and/or hematuria.
- The diagnosis of renal calculi is generally made radiographically.
- Currently, the most common radiologic method of diagnosis is via a KUB and intravenous pyelography, though some centers are investigating the use of ultrasound and computed tomography.
Types of Pyelolithotomy
- Simple Pyelolithotomy
- Extended Pyelolithotomy
- Additional Nephrotomies
- Wound Closure
