Percutaneous Nephrolithotripsy (PCNL) has become a standard method to approach large urinary stones (over 2cm) located in the kidney or proximal ureter. Among the minimal invasive urological procedures, PCNL still remains as the most morbid treatment. The routine of using post-operative nephrostomy is still controversial, and some authors supports that tubeless PCNL could be as safe as standard...

Abstract Purpose: We performed a systemic review with meta-analysis to compare tubeless vs conventional percutaneous nephrolithotomy (PCNL) and assess the effectiveness and safety of this innovative procedure. Materials and Methods: A systematic review of PUBMED, EMBASE, LILACS, and Cochrane Library was performed to identify all randomized controlled trials (RCTs) that compared tubeless PCNL vs...

OBJECTIVES Fusion and rotation anomalies are among the most common anomalies of the kidneys especially the horseshoe kidneys that have abnormal mixtures of malrotation, ectopia and fusion. Percutaneous nephrolithotomy (PCNL) in horseshoe kidney and malrotation kidney is challenging. We report PCNL in 10 horseshoe kidneys and 4 kidneys with congenital malrotation. MATERIAL AND METHOD PCNL was ...

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 ...

Pros and cons of Percutaneous Nephrolithotripsy (PCNL) versus Extracorporeal Shockwave Lithotripsy (ESWL) have often been highlighted when one discusses on the management of renal stones. An oft quoted point is that PCNL entails a prolonged hospital stay whereas ESWL sessions are day surgical in nature. However, PCNL has superior stone clearance rate as compared to ESWL especially for lower pol...

Colonic perforation (CP) is an extremely rare complication of percutaneous nephrolithotrypsy (PCNL).1 Nephrocutaneous fistulas after PCNL are unusual. Typically, they resolve with conservative measures such as observation, ureteral stenting, and, occasionally, percutaneous drainage.2 We present a case of nephrocutaneous fistula as a result of a CP after PCNL that was treated with percutaneous i...

We report the first case of totally tubeless outpatient percutaneous nephrolithotomy (PCNL). Our patient was discharged home safely less than 4 hours following uncomplicated PCNL with no nephrostomy tube, ureteral stent, or urethral catheter. Follow-up the next day in clinic confirmed that the procedure was successful, as the patient was clinically well and stone free. To our knowledge, this is...

OBJECTIVE To compare the efficacy of tubeless percutaneous nephrolithotomy (PCNL) using double-J stent and tubeless PCNL with external ureteral catheter in decreasing post-PCNL complications. METHODS This prospective randomized comparative study includes 148 cases with kidney stones. They were operated by either tubeless PCNL with double-J stent (Group 1) or tubeless with ureteric catheter (G...

Abstract Background Renal stones are a prevalent urological disorder with various treatment options, including minimally invasive techniques such as Standard-PCNL (S-PCNL) and Mini-percutaneous nephrolithotomy (M-PCNL). This study aims to compare the efficacy safety outcomes of M-PCNL S-PCNL for managing renal calculi. Methods randomized enrolled 60 patients stones, comparing (Group A) B) proce...

INTRODUCTION Paediatric percutaneous nephrolithotomy (PCNL) has revolutionised the treatment of paediatric nephrolithiasis. Paediatric PCNL has been performed using both adult and paediatric instruments. Stone clearance rates and complications vary according to the technique used and surgeon experience. We present our experience with PCNL using adult instruments and a 28Fr access tract for lar...