PURPOSE To assess the efficacy and safety of percutaneous nephrolithotomy (PCNL) under the guidance of ultrasonography and fluoroscopy. MATERIALS AND METHODS We retrospectively analyzed 562 renal calculi patients (313 men and 249 women; mean age 46 years, ranged from 13 to 70 years) who underwent 582 PCNL from March 2004 to October 2011 in our department. RESULTS Of participants, 89.6% expe...

ARTICLE INFO ______________________________________________________________ ______________________ Main findings: We describe the use of a novel endoscopic approach in the management of unremitting gross hematuria following post-percutaneous nephrolithotomy (PCNL) in a 65-years-old male. This approach proved successful and cost-effective in managing haemorrhage post-PCNL when renal angiography ...

Delayed bleeding following percutaneous nephrolithotomy (PCNL) usually occurs due to development of the pseudoaneurysm which can be successfully managed with coil embolization. However very few cases of such complications have been reported in the literature. Here we are reporting a case of delayed post-PCNL bleeding that occurred in a 53-year-old diabetic patient operated on for renal stone. C...

OBJECTIVE To present the results of upper calyceal access during percutaneous nephrolithotripsy (PCNL) for stones in the lower calyx, as PCNL is considered the most effective minimally invasive surgery for managing lower calyceal stones, with percutaneous access either directly to the lower calyx or through an upper or middle calyx. PATIENTS AND METHODS The study included 76 patients with sin...

INTRODUCTION Supine percutaneous nephrolithotomy (PCNL) has become increasingly widespread during the last 2 decades. The aim of this study was to analyze the transition from prone to mainly supine PCNL in 2 endourologic centers. MATERIAL AND METHODS We retrospectively analyzed data on 214 consecutive supine PCNLs divided into the first (2011-2013) and last (2014-2016) 3 years of this study. ...

introduction percutaneous nephrolithotomy (pcnl) is a standard, safe, and efficient method for removing large renal calculi. despite development of endourologic equipment, complications of the pcnl are still prevalent. even though therapeutic modalities such as mini-micro pcnl have been developed in recent years, the complications are a serious concern yet. the most important complication is he...

OBJECTIVE To compare the outcome of treatment planning using multislice computed tomography (CT) or intravenous urography (IVU) for supine percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS The study included 60 patients with renal stones, all treated by supine PCNL, between March 2011 and October 2012. The patients were divided randomly into two equal groups; in group 1 30 patients ha...

BACKGROUND Percutaneous nephrolithotomy (PCNL) remains the standard procedure for large (≥2 cm) renal calculi; however, laparoscopic pyelolithotomy (LPL) can be used as an alternative management procedure. The aim of present study was to compare LPL and PCNL in terms of efficacy and safety for the management of large renal pelvic stones. METHODS A literature search was performed in Jan 2016 u...

Nephropleural fistulae are rare but serious thoracic complications of percutaneous nephrolithotomy (PCNL). Herein, we present the management of a 54-year-old female with a delayed presentation of nephropleural fistula. The role of serial thoracentesis as a safe, less invasive, less painful alternative to tube thoracostomy is highlighted. In select cases, this may represent an attractive managem...

BACKGROUND The treatment of bilateral complex renal stones is a tough challenge for urologists. This study aimed to evaluate the efficiency and safety of bilateral ultrasonography-guided multi-tract percutaneous nephrolithotomy (PCNL) combined with EMS lithotripsy for the treatment of such cases. METHODS Twenty-seven patients suffering from bilateral complex renal calculi underwent t bilatera...