BACKGROUND AND PURPOSE Percutaneous nephrolithotomy (PCNL) in elderly patients is challenging due to the high prevalence of comorbidity and single kidney. We compared the results and complications of patients who were submitted to PCNL according to age (higher than and lower than 65 years old). MATERIALS AND METHODS A total of 61 patients aged more than 65 years old (group I) and 385 patients...

OBJECTIVE To review the current approach to training and the learning curve for percutaneous nephrolithotomy (PCNL), and to formulate a recommendation for structured PCNL training for the urologist in-training. METHODS Publications related to PCNL training, simulator training, surgical training and working-hour restrictions on surgical training were reviewed. RESULTS The key components for ...

Double J stent was inserted through ureteroscope. On the 3rd postoperative day, the patient showed signs and symptoms of obstipation, vomiting, abdominal tenderness and rebound tenderness, and high fever. Plain abdominal x-ray at supine and upright position revealed air fluid level and no evidence of gas pattern in the pelvis (rectum) and sentinel loop in the left upper quadrant (Figure 2). Che...

The increasing global prevalence of nephrolithiasis continues to burden the healthcare delivery systems of industrialized nations and exact a disproportionate humanitarian toll on populations of the developing world (1). In the United States alone, the prevalence of nephrolithiasis is nearly twice the rate reported in the 1960s (2-5). The subsequent rise in surgical interventions for nephrolith...

CT-guided percutaneous renal access has been described as a safe and effective access technique in patients with complex anatomy, including ectopic kidney, retrorenal colon, spinal dysraphism, hepatomegaly, and splenomegaly. In comparison to conventional intraoperative fluoroscopic-guided access, CT imaging allows for delineation of surrounding structures that are at risk for injury during perc...

Received January 2010 Accepted February 2010 INTRODUCTION Percutaneous renal procedures have become an established approach for diagnosis and treatment of a number of renal pathologic lesions. Hemorrhage and vascular lesions are the most serious complications. The reported incidence of postoperative hemorrhage requiring selective angio-embolization for bleeding control is 1.2%.(1) Delayed bleed...

Introduction. The effect of various minimally invasive treatment for kidney stones on renal function has not been sufficiently studied. To assess the specificity, severity, and prognostic significance injury urolithiasis its treatment, it is necessary to search «biomarkers injury». concentration serum urea creatinine used in routine clinical practice, glomerular filtration rate change later sta...

STUDY OBJECTIVE To compare extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy for efficacy in treating renal calculi. DESIGN Non-randomised multicentre cohort study with 3 month follow up and 13 month data collection period. SETTING Lithotripter centre in London, tertiary referral hospital, and urological clinics in several secondary and tertiary care centres. PATIENTS...

Objective: To assess Hydronephrosis as a Risk Factor for complications in Conventional Percutaneous Nephrolithotomy. Study Design: Cross Sectional Descriptive study. Setting: Kidney Centre Post Graduate Training Centre, Karachi. Period: January to December 2020. Material & Methods: This study was done know post-operative including bleeding, infection, and incomplete stone clearance patients...