COST EFFECTIVENESS COMPARISON OF OPEN SURGERY WITH PERCUTANEOUS NEPHROLITHOTOMY (PCNL) IN NEPHROLITHIASIS PATIENTS IN H. ADAM MALIK HOSPITAL MEDAN

M. Bob Muharly Rambe; Ramlan Nasution; SyahMirsya Warli

Volume : VIII, Issue : IX, September - 2019

COST EFFECTIVENESS COMPARISON OF OPEN SURGERY WITH PERCUTANEOUS NEPHROLITHOTOMY (PCNL) IN NEPHROLITHIASIS PATIENTS IN H. ADAM MALIK HOSPITAL MEDAN

M. Bob Muharly Rambe, Ramlan Nasution, Syahmirsya Warli

Abstract :

Urinary tract stones are one of the three most common diseases in the field of urology in addition to urinary tract infections and benign prostate enlargement. Percutaneous nephrolithotomy (PCNL) monotherapy has the advantage of taking large stones with minimal morbidity, especially stones in the inferior calyx. This study aims to compare the cost effectiveness of PCNL compared to open surgery seen from all aspects. This study is an analytical study with a cross sectional design to see the comparison of the Cost Effectiveness between open surgery with percutaneous nephrolithotomy (PCNL) in patients with nephrolithiasis in the H. Adam Malik General Hospital Medan in the period of January - December 2018. Based on the results, it was found that PCNL procedures are superior in terms of cost-effectiveness compared to open pyelolithotomy with relatively shorter duration of action, shorter duration of treatment and less complication of action than open pyelolithotomy.