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The American Journal of Public Health, 2025, Volume 11, Issue 1, Pages: 1-4

Comparison Of Chiba And Intracath Needle Techniques For Percutaneous Access In Percutaneous Nephrolithotomy: A Retrospective Analysis Of Success Rates And Complication Profiles.

Correspondence to Author: Onur Dede^1* ^{, Mazhar Utangaç¹}

1. Dicle University School of Medicine Department of Urology, DIYARBAKIR, TURKEY; Email: dronurdede@hotmail.com

DOI: 10.52338/tajoph.2025.4734

Abstract:

Objective: To compare the efficacy and safety of Chiba and Intracath needles in achieving percutaneous renal access during percutaneous nephrolithotomy (PCNL). Methods: This retrospective study included 1,731 PCNL procedures performed between 2010 and 2020. Patients were categorized into Chiba (n=840) and Intracath (n=891) groups. Outcomes assessed included access success rate, access time, fluoroscopy time, estimated blood loss, and complications classified by the Clavien-Dindo system. Results: Access success rates were similar (Chiba: 95.2%, Intracath: 95.6%; p>0.05). Intracath needle use resulted in significantly shorter access time (5.2 ± 1.8 min vs. 6.8 ± 2.1 min, p<0.05) and reduced fluoroscopy duration (48.1 ± 12.7 sec vs. 65.4 ± 14.2 sec, p<0.05). Estimated blood loss and complication rates were comparable. Conclusion: Both needle types are effective and safe for PCNL access. The Intracath needle offers efficiency advantages without increased complication risk

Keywords: percutaneous nephrolithotomy, PCNL, Chiba needle, Intracath needle, renal access, complications.

Citation:

Onur Dede. Comparison of Chiba and Intracath Needle Techniques for Percutaneous Access in Percutaneous Nephrolithotomy: A Retrospective Analysis of Success Rates and Complication Profiles. The American Journal of Public Health. 2025.