The Percutaneous nephrolithotomy (PCNL)is now become a fast and routine
procedure for nephrolithiasis in most urological centres. The aim of
study is to assess the changes in standard procedure and its outcome on
patient morbidity. As we discussed that the conventional procedure need
the placement of nephrostomy tube, so we assess, is the nephrostomy
tube, is really worthwhile after procedure? if needed, is it necessary
to put the large bore tube instead of small bore tube. we compare, the
outcome of large bore, with small bore, and tubeless PCNL. we comes on
conclusion, that patients with tubeless have definitely edge over those
group having nephrostomy tube, with no added morbidity.