INTRODUCTION CROES-Clavien system (CCS) for grading complications in percutaneous nephrolithotomy (PCNL) is a step towards standardization of outcomes. We categorized complications based on CCS and predicted risk factors across the entire cohort and individually for pediatric (P: ≤18 years), adult (A: 19-65 years) and geriatric (G: ≥65 years) subgroups to assess the risk factors in each subset....

BACKGROUND The placement of a nephrostomy tube or internal ureteral stent after PCNL has been considered standard practice. OBJECTIVES To investigate the inclusion criteria for totally tubeless PCNL in pediatric cases. MATERIAL AND METHODS A total of 27 children who underwent PCNL included in the study: Twelve of the 27 patients who underwent totally tubeless PCNL (group 1; tubeless and ste...

Introduction: The tubeless percutaneous nephrolithotomy (PCNL) procedure is defined as non-placement of double-J stent at the end procedure. There are numerous advantages placement nephrostomy tube in standard PCNL like adequate renal drainage, tamponade effect for bleeding and relook PCNL. Aim: This study aims to determine effectiveness, safety, morbidity by comparing it technique. Methodology...

background: in this study, the early effects of percutaneous nephrolithotomy (pcnl) on glomerular filtration rate (gfr) was assessed in different postoperative times and likewise, we determined the correlation of different variables with significant postoperative gfr drop  after pcnl. m aterials and methods: patient records of 486 cases that had undergone pcnl from january 2010 to october 2011 ...

INTRODUCTION Various anomalous kidneys such as horseshoe kidney, crossed ectopic kidney, simple ectopic kidney, pelvic ectopic kidney, kidney with duplex system, and malrotated kidney are frequently associated with stone disease. Percutaneous nephrolithotomy (PCNL) is a challenging procedure in these patients because of abnormal orientation of kidney. PATIENTS AND METHODS Since 2005-2015, 86 ...

PURPOSE To evaluate the effect of Amplatz sheath size used in percutaneous nephrolithotomy (PCNL) on postoperative outcomes, bleeding and renal impairment rates. MATERIALS AND METHODS We retrospectively evaluated the records of 91 patients who had undergone PCNL. We divided the patients into 2 groups according to Amplatz sheath size (22 and 30 French [F]) used in the PCNL procedure. Groups we...

Delayed hemorrhage following percutaneous nephrolithotomy (PCNL) is secondary to pseudoaneurysm or arteriovenous fistula, which happens in less than 1% of PCNLs. Predisposing factors are: medial puncture instead of posterolateral puncture, arteriosclerosis, and hypertension. Definite diagnosis is made by angiography and embolization, as a definite treatment, can be done through the same angiogr...

Surgery in patients with congenital or acquired coagulation defects has always been challenging and requires special care with a multidisciplinary approach. Percutaneous nephrolithotomy (PCNL) is a standard procedure performed in patients with kidney stones. Although prone to bleeding more than most of the widely performed surgical procedures, there are not much data regarding PCNL in patients ...

Percutaneous nephrolithotomy (PCNL) is the standard of care for the management of large renal stone burdens. Residual stones after PCNL may be cleared with a second-look nephroscopy. Determining whether a patient should undergo a second-look procedure is based on both the intraoperative findings and the post-operative imaging. Aggressive intraoperative flexible nephroscopy, may reduce the need ...

INTRODUCTION The goal of percutaneous nephrolithotomy (PCNL) is to ensure complete stone clearance with minimal morbidity. The key to complete clearance is accurate technique, expertise and instrumentation. METHODS We systematically reviewed available reports that were identified using a PubMed/Medline search. The keywords used were 'PCNL' and 'advances in PCNL'. The findings were reviewed un...