PURPOSE We determined the efficacy of extracorporeal shock wave lithotripsy monotherapy and compared its cost-effectiveness with percutaneous nephrolithotomy for the management of lower pole renal calculi. MATERIALS AND METHODS The efficacy (stone-free rates at 3-months posttreatment) of shock wave lithotripsy with the modified Dornier HM3* machine was determined retrospectively in 114 patien...

Background: The aim of this study was to describe the one-decade experience in Percutaneous Nephrolithotomy surgery in children with kidney stones in Tehran, Iran. Methods: All patients (less than 18 years old) undergoing Percutaneous Nephrolithotomy at our referral medical center, were reviewed in this cross-sectional study. All the demographics, surgical data and post-operative information...

PURPOSE With decreased physical activity, growing sedentary lifestyle, and high fat diet, obesity has become a pandemic disease all over the world. In this review, we aim to assess the effect of obesity on prone percutaneous nephrolithotomy.(PNL) outcomes. MATERIALS AND METHODS We performed a comprehensive review of the published articles in PubMed®, Medline, Scopus, Cochrane database fro...

OBJECTIVES (1) To evaluate the safety and efficacy of supine percutaneous nephrostomy, nephrolithotomy, and combined percutaneous nephrolithotomy and ureteroscopic lithotripsy. (2) To describe the skill-acquiring process in supine procedures and share our initial experience. DESIGN Three-staged case series with prospective data collection. SETTING Two public hospitals in Hong Kong. PATIEN...

Objectives: Percutaneous nephrolithotomy on staghorn calculi is challenging for urologists because it is difficult to remove all of the stones. The purpose of this study was to evaluate the associated factors of stone-free rate after primary percutaneous nephrolithotomy on staghorn calculi in a large series of patients at a single, tertiary referral, endourologic stone center. Methods: We colle...

background nowadays percutaneous nephrolithotomy (pcnl) is performed in prone and supine positions. physiologic solutions should be used to irrigate during pcnl. irrigation can cause hemodynamic, electrolyte and acid-base changes during pcnl. objectives the current study aimed to compare the electrolyte, hemodynamic and metabolic changes of prone and complete supine pcnl. patients and methods i...

Percutaneous nephrolithotomy is an invasive procedure applied to large and complex stones in the prone or supine position. Various complications—but mostly fever bleeding—can be seen during after procedure. Neighboring organ injuries are rare access. Liver rarely have a better clinical prognosis than other injuries. We present management of liver injury with ptosis retro-renal right lobe as com...

OBJECTIVE To present a previously unreported long term complication of percutaneous nephrolithotomy for exclusive renal stone. METHODS/RESULTS A 30-years-old woman underwent percutaneous nephrolithotomy for a obstructive pelvic stone, through inferior calix access achieving a stone free status. During the procedure occurred an inadvertent pelvis perforation, but the early evolution was otherw...

BACKGROUND Percutaneous nephrolithotomy is the treatment of choice in large and staghorn renal stones, and myocardial infarction is one the possible complications during and after the surgery. We investigated if renal and skeletal muscle injury, caused by percutaneous nephrolithotomy, can cause elevation in cardiac troponins (cTn). METHODS This study was conducted on otherwise healthy patient...