Mahesh Ramanlal Desai

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PURPOSE We compared postoperative outcomes among tubeless, conventional large bore nephrostomy drainage and small bore nephrostomy drainage following percutaneous nephrostolithotomy (PCNL) in a prospective randomized fashion. MATERIALS AND METHODS Between January and June 2001, 30 patients undergoing PCNL were randomized to receive conventional large bore(More)
PURPOSE To assess the current indications, perioperative morbidity, and stone-free outcomes for percutaneous nephrolithotomy (PCNL) worldwide. PATIENTS AND METHODS The Clinical Research Office of the Endourological Society (CROES) collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. PCNL(More)
BACKGROUND In percutaneous nephrolithotomy (PNL), the best possible way to access the collecting system is still a matter of debate. There is little possibility of correcting a suboptimal access. OBJECTIVE To describe our initial experience using a micro-optical system through a specific puncture needle to confirm the quality of the chosen access prior to(More)
OBJECTIVE To plan a prospective comparative case-control designed study aiming to compare minipercutaneous (miniperc) and retrograde intrarenal surgery (RIRS) for a renal calculus of size 1-2 cm. PATIENTS AND METHODS A total of 64 cases (32 in each arm) underwent miniperc and RIRS during the study period from March 2009 to April 2011. The primary and(More)
BACKGROUND AND PURPOSE Bleeding is a major concern during percutaneous nephrolithotomy (PCNL), especially with the use of multiple tracts. This prospective study aimed to identify factors affecting blood loss during PCNL. PATIENTS AND METHODS Data were collected prospectively from 236 patients undergoing 301 PCNL procedures at our institute since June(More)
BACKGROUND AND PURPOSE Pediatric renal calculus disease has been a management dilemma in view of the concern about the effects of the various treatment modalities on the growing kidney, the significant recurrence rate, and the long-term outcome. We report our experience with percutaneous nephrolithotomy (PCNL) monotherapy in staghorn or complex pediatric(More)
OBJECTIVE To report our experience with pretransplant laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease (ADPKD), as ADPKD often progresses to end-stage renal disease and most azotaemic patients with ADPKD have enlarged kidneys, making graft placement difficult. MATERIAL AND METHODS We retrospectively reviewed the(More)
OBJECTIVE To compare micropercutaneous nephrolithotomy (microperc) and retrograde intrarenal surgery (RIRS) for the management of renal calculi <1.5 cm with regard to stone clearance rates and surgical characteristics, complications and postoperative recovery. PATIENTS AND METHODS Seventy patients presenting with renal calculi <1.5 cm were equally(More)
OBJECTIVES To report our initial experience with laparoendoscopic single-site (LESS) surgery in 100 patients in urology. METHODS Between October 2007 and December 2008, we performed LESS urologic procedures in 100 patients for various indications. These included nephrectomy (N = 34; simple 14, radical 3, donor 17), nephroureterectomy (N = 2), partial(More)
OBJECTIVE To establish the efficacy of early removal of a nephrostomy tube after percutaneous nephrolithotomy (PCNL), to challenge the wisdom of tubeless PCNL, as we hypothesized that it would result in a shorter hospital stay, comparable benefit and safety, while maintaining the option of check nephroscopy ensuring far superior stone clearance. PATIENTS(More)