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since open surgery in urinary stone surgery has been replaced with percutaneous nephrolithotomy (PCNL), several studies have been done to modify this technique to reduce complications, hospitalization and costs. So, this study design to evaluated effectiveness of totally tubeless percutaneous nephrolithotomy. we reviewed 29 patients who underwent totally tubeless PCNL at our 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 by SPSS version 18. 25 patients (18 male and 7 female) with the mean age of 50.32±11.50 years were undergone totally tubeless PCNL procedure. The mean stone size was 35.72±7.39 mm. The mean operation duration was 48.24±4.29 minutes. The mean hemoglobin drop was 1.38±1.00mg/dl. Only two patients (8%) requirement blood transfusion (each patients received 1U pack cell). Data showed all patients used NSAID (diclofenac suppository) analgesic and also, 8 patients (32%) needed narcotic analgesic (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 was 1.28±0.54 days. our study show the totally tubeless PCNL surgery is a safe procedure with low analgesic requirement, low complication rate and lower hospitalization time.

     

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