BACKGROUND Although endoscopic combined intrarenal surgery (ECIRS) is well established as primary approach to complex lithiasis, no evidences are still available on its use in salvage context. CASE PRESENTATION A male patient, of 55 years of age, underwent many unsuccessful surgical procedures to treat large and multiple right kidney stones, including percutaneous nephrolithotomy (PCNL). The ...

OBJECTIVE To explore the risk factors for systemic inflammatory response syndrome (SIRS) after percutaneous nephrolithotomy (PCNL) in patients with preoperative negative urine culture (UC). STUDY DESIGN Observational study. PLACE AND DURATION OF Department of Urology, Gazi Hospital, Samsun, Turkey, from January 2015 to 2020. METHODOLOGY Two hundred and twenty-eight patients, who underwent conve...

Colonic perforation (CP) is an extremely rare complication of percutaneous nephrolithotrypsy (PCNL). Nephrocutaneous fistulas after PCNL are also unusual and usually resolve with the conservative measures of observation, ureteral stenting, and, occasionally, percutaneous drainage. We present a case of nephrocutaneous fistula as a result of a CP after percutaneous nephrolithotripsy that was trea...

Significant literature has an impact on the reader. Reading the novella Heart of Darkness by Joseph Conrad as a young boy rose emotions comparable to those I felt when losing a patient after percutaneous nephrolithotomy (PCNL) as a grown up. The case of a 37-year-old woman with bilateral staghorn and a fatal outcome after PCNL is presented and alternatives are discussed.

Background: A rare percutaneous nephrolithotomy (PCNL) complication and its management is reported. Case Presentation: A male patient, 43 years of age, underwent PCNL for a large left pyelocaliceal stone. Surgery was performed in the Valdivia-Galdakao supine position. The percutaneous tract was established by combined radiologic and sonographic guidance. The tract was dilated by balloon and a 2...

Objective: To compare the differences of clinical effect and complications of Percutaneous Nephrostolithotomy (PCNL), Ureteroscopic Pneumatic Lithotripsy (UPL) and Ureteroscopic Holmium Laser Lithotripsy (UHLL) in the treatment of upper ureteric calculi which is bigger than 12 mm. Methods: Totally 196 patients with upper ureteric calculi which is bigger than 12 mm in our hospital were selected ...

AIMS There has been much speculation and discussion about the infective complications of percutaneous nephrolithotomy (PCNL). While fever is common after PCNL, the incidence of it progressing to urosepsis is fortunately less. Which patient undergoing PCNL is at risk of developing urosepsis and in whom aggressive treatment of fever postoperatively may prevent the progression to severe sepsis bec...

Introduction: Dusting, use of high frequency and low pulse energy-is commonly performed during ureteroscopic holmium laser lithotripsy but reports on the ability of this method to treat large stones via percutaneous nephrolithotomy (PCNL) are limited. We report on the first clinical feasibility of a dusting technique during PCNL using a specially designed laser suction handpiece (LSHP). Materia...