Right Percutaneous Nephrolithotomy
This report is a case study on an 86-year-old man. Through subjective observation, the patient has stated that he has severe right flank pain and hematuria. The patient has had a history of renal calculi, diabetes, and lithotripsy. Prior to his surgery, the man had a Spiral CT protocol done without IV contrast done to look for signs of any abnormalities (Wiand, 2016). With objective observation, Dr. Wiand, a radiologist, discovered that the left kidney and ureters still had remaining contrast but no signs of obstruction. The right kidney had a right flank percutaneous nephroureteral stent that was put in prior to the Spiral CT examination. The stent was shown to have a puncture. At the area of puncture, an ovoid low-attenuation was found in the subcutaneous fat which caused free contrast to appear in the…show more content… However, there are a few risks for this procedure and they are as follows: excessive bleeding, adjacent organ injury, and infection. Long-term complications include loss of function, per nephric collection, recurrent urinary tract infections, structuring of the collecting system, urethral stricture, and stone recurrence (Vicentini et al., 2009). Overall, the prognosis for this procedure is good, considering the doctor is able to remove the stones altogether. However, in certain cases, the kidney stones have a tendency of coming back, and with that it will require further surgery (Vicentini et al., 2009). To avoid getting another kidney stone the patient will need to change their lifestyle by avoiding certain foods, take more vitamins, and medications to help prevent stones from coming back. The most common age group for this case to occur are individuals age 65 and over (Vicentini et al., 2009). Another common factor is that by having diabetes it will increase one’s chances in having risks for kidney stones (Vicentini et al.,
