Nadali Moosanejad - Fellowship of endourology , Department Of Urology, Mazandaran University Of Medical Sciences, Sari, Iran
Ali Isapour - Department of Urology, Mazandaran University of Medical Sciences, Sari, Iran
Mehran Fazli - General Practitioner in Imam Khomeini Hospital of Esfarayen, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
Milad Bahari - Medical Student of Faculty of medicine, student research committee, Mazandaran University Of Medical Sciences, Sari, Iran

since open surgery in urinary stone surgery has been replaced with percutaneousnephrolithotomy (PCNL), several studies have been done to modify this technique to reducecomplications, hospitalization and costs. So, this study design to evaluated effectiveness of totallytubeless percutaneous nephrolithotomy. we reviewed 29 patients who underwent totally tubeless PCNL atour 2 centers from February 2011 to September 2012. All surgeries were performed by one surgeon.Based on inclusion criteria, 25 patients were enrolled in this study. All patients´ data was analyzed bySPSS version 18. 25 patients (18 male and 7 female) with the mean age of 50.32±11.50 years wereundergone totally tubeless PCNL procedure. The mean stone size was 35.72±7.39 mm. The meanoperation duration was 48.24±4.29 minutes. The mean hemoglobin drop was 1.38±1.00mg/dl. Only twopatients (8%) requirement blood transfusion (each patients received 1U pack cell). Data showed allpatients used NSAID (diclofenac suppository) analgesic and also, 8 patients (32%) needed narcoticanalgesic (Pethidine) with mean dose of 34.37±12.93mg. complications was observed in 2 patients (8%)(One patient had high fever and one other had prolong renal pain). The mean length of hospital stay was1.28±0.54 days. our study show the totally tubeless PCNL surgery is a safe procedure with low analgesicrequirement, low complication rate and lower hospitalization time.

totally tubeless PCNL; complications; hospitalization time