We report a case of retained Double J ureteral stent with huge, multiple calculi at both ends in a 10-year-old female child. The renal and bladder calculi were managed by percutaneous nephrolithotomy and percutaneous cystolitholapaxy in a single sitting.

PURPOSE To share the experience of the authors with the urological family in the world by the review of literature on supine percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS We have searched all the available databases, including PubMed or MEDLINE and Embase Biomedical Database to find any English articles related to supine PCNL from 1998 to 2010. Of 17 studies, 11 were case series ...

OBJECTIVE This review focuses on a step-by-step approach to percutaneous nephrolithotomy (PNL) and its complications and management. METHODS Based on institutional and personal experience with >1000 patients treated by PNL, we reviewed the literature (Pubmed search) focusing on technique, type, and incidence of complications of the procedure. RESULTS Complications during or after PNL may be...

The surgical management of pediatric stone disease has evolved significantly over the last three decades. Prior to the introduction of shockwave lithotripsy (SWL) in the 1980s, open lithotomy was the lone therapy for children with upper tract calculi. Since then, SWL has been the procedure of choice in most pediatric centers for children with large renal calculi. While other therapies such as p...

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...

OBJECTIVE To investigate the effect of thoracic paravertebral block (PVB) on pain control and morphine consumption in percutaneous nephrolithotomy operations. SUBJECTS AND METHODS This randomized controlled clinical study was performed on 60 American Society of Anesthesiologists (ASA) I-II patients between the ages of 18 and 60 years who underwent percutaneous nephrolithotomy with approval of...

PURPOSE To compare the efficacy of extracorporeal shock wave lithotripsy in managing residual stones after ureterolithotripsy and mini-percutaneous nephrolithotomy. MATERIALS AND METHODS A retrospective study was carried out of 71 patients with proximal urinary tract stones (greater than 10 mm) who underwent ureterolithotripsy or mini-percutaneous nephrolithotomy at a single institution from ...

A 51-year-old man presented with fever, chills, and significant weight loss of 6 months’ duration. Three months earlier, the patient had undergone percutaneous nephrolithotomy for right-sided kidney calculus. Computed tomography revealed an 11.6 × 14.9 × 14.9-cm encapsulated multiseptated hypodense mass with enhancing walls and septa and areas of fat density and air in the right suprarenal regi...