Objective The objective of this study was to compare the STONE score (Size of the stone, Topography or location, degree of Obstruction of the urinary system, Number of stones, and Evaluation of Hounsfield units), Guy's stone score (GSS), Clinical Research Office of the Endourological Society (CROES) nomogram, and Seoul National University Renal Stone Complexity Score (RSCS) in prognosticating multiple tract mini-percutaneous nephrolithotomy (mPCNL) outcome. Methodology This descriptive retrospective analysis was carried out at the Urology Department, Lady Reading Hospital, Peshawar, Pakistan. Male and female patients in the age range of 18-70 years who underwent multiple tract mPCNL for renal stones from July 1, 2021, to June 30, 2023, were included in the analysis. Results A total of 110 patients were registered. Stone-free status (SFS) was achieved in 78.2% (n=86), and complications were observed in 13.6% (n=15) patients. The odds ratio for STONE score, GSS, CROES scoring system, and RSCS for predicting the SFS was 7.093 (95%CI 2.40-20.89), 9.333 (95%CI 2.92-29.81), 11.70 (95%CI 2.56-53.38) and 3.450 (95%CI 1.25-9.53), respectively. Conclusion Multiple tract mPCNL is a safe and effective technique for the management of renal stones, producing a high stone-free rate. This study demonstrated adequate efficacy and dependability of the four scoring systems in predicting SFS.
Cureus. 2024 Feb 23*** epublish ***
Khalid Farooq, Najma Hameed, Zainab Zaib, Muhammad Bilal Hameed, Husnain Ausaf, Fraz Shakil, Muhammad Afzaal Nawaz
Urology, Lady Reading Hospital, Peshawar, PAK., Radiology, Northwest General Hospital, Peshawar, PAK., Obstetrics and Gynecology, Lady Reading Hospital, Peshawar, PAK., Urology, Institute of Kidney Diseases, Peshawar, PAK., Urology, Wexham Park Hospital, Slough, GBR., Ophthalmology, Mayo Hospital, Lahore, PAK., Urology, Muhammad Ali Hospital, Lahore, PAK.