Determine the Prevalence of Complications in Patients Undergoing Renal Biopsy

Aim: To determine the frequency of complications in renal biopsy. Study Design: Descriptive case series Place and duration of study: Department of Nephrology, Chandka Medical College Hospital Larkana from 1st January 2018 to 30th June 2019. Methods: Three hundred and forty patients of renal biopsies were included. The procedure was undertaken on the bedside using a portable ultrasonographic machine and spring loaded tru-cut biopsy needle. Biopsy cores were carried to pathology laboratory immediately in formalin solution and processed for histopathology and immunoflurescene. Post biopsy the patient was kept admitted for 24 hours for strict bed rest, all urine was collected in separate containers to monitor for presence of gross hematuria, post biopsy surveillance ultrasound scan was done 06 hours after biopsy by radiologist for hematoma and at same time blood hemoglobin was repeated to see any drop in hemoglobin level. Pain was assessed at 2 hours. Results: One hundred and 49(43.82%) were between 18-50 years of age while 191(56.18%) were between 51-65 years of age with mean age was 50.55 +/- 9.29 years, 166(48.82%) were males and 174(51.18%) were females. Complications in renal biopsy was recorded as 39(11.47%) had pain, 11 (3.23%) had hematuria while 27(7.94%) had hematoma. Conclusion: Pain and hematoma are the most frequent complications of renal biopsy.