Ever since the first ureteroscopy performed by Hugh Hampton Young at the beginning of last century,1 ureterorenoscopy has evolved over nearly a century from the era of happenstance to the Digital & Robotic era. This evolution culminates in the technique of retrograde intrarenal surgery (RIRS) utilising flexible ureterorenoscope and Holmium laser, which is a very effective treatment option in th...

c Abstract: The most common form of renal ectopy is pelvic kidney and treating stone disease and achieving complete stone clearance in such anatomical anomaly is difficult. We report a case of patient with pain in left iliac fossa and evaluation revealed left pelvic kidney with multiple renal calculi. We describe the successful management of calculi with laparoscopic assisted Percutaneous Nephr...

A 25-year-old man presented with stones in left kidney received the left Percutaneous nephrolithotomy (PCNL) with holmium laser lithotripsy. All the stones were successfully removed, and all the results were normal in the first three months followup. However, a deterioration of renal function was confirmed two years later. No mechanical obstruction was found with ureteroscopy. The deterioration...

Kedney matrix stones are a rare form of calculi. Flank pain and urinary tract infections (UTI) are the most common presentations of matrix calculi. The diagnosis is usually made at surgery, but some preoperative radiographic findings might be suggestive. Open surgery was the method of choice for treatment. However, combination of ureterorenoscopy and percutaneous nephrolithotomy (PCNL) was foun...

BACKGROUND Percutaneous nephrolithotomy (PCNL) is performed to treat relatively large renal stones. Recent publications indicate that tubeless and total tubeless (stentless) PCNL is safe in selected patients. We performed a systematic review and network meta-analysis to evaluate the feasibility and safety of different PCNL procedures, including total tubeless, tubeless with stent, small-bore tu...

Objectives:The aim of the present study was to assess the analgesic efficacy of IV ketamine injection inaddition to nephrostomy tract infiltration of ketamine – bupivacaine on postoperative pain relief after tubeless percutaneous nephrolithotomy (PCNL). Patients and Methods: Patients (n = 100), with renal stone who were candidates for PCNL were randomized to five groups with 20 cases in each: G...

Objectives:The aim of the present study was to assess the analgesic efficacy of IV ketamine injection inaddition to nephrostomy tract infiltration of ketamine – bupivacaine on postoperative pain relief after tubeless percutaneous nephrolithotomy (PCNL). Patients and Methods: Patients (n = 100), with renal stone who were candidates for PCNL were randomized to five groups with 20 cases in each: G...

The surgical management of pediatric upper urinary tract calculi has evolved from open surgery to minimally invasive techniques. With advancement in instrumentation, endourological procedures are being performed more commonly in children. However, the endourological management of renal and ureteral stones in the pediatric population is considered challenging, owing to the smaller size of the ur...

Objective: To assess Hydronephrosis as a Risk Factor for complications in Conventional Percutaneous Nephrolithotomy. Study Design: Cross Sectional Descriptive study. Setting: Kidney Centre Post Graduate Training Centre, Karachi. Period: January to December 2020. Material & Methods: This study was done know post-operative including bleeding, infection, and incomplete stone clearance patients...

Abstract Background To evaluate the safety and efficacy of mini percutaneous nephrolithotomy (mini PCNL) retrograde intrarenal surgery (RIRS) in treatment kidney stones 20–30 mm. Methods A prospective randomized study 70 patients who presented to urology department with calyceal or renal pelvic stone mm between September 2017 2019. Patients were randomly divided into two groups, Group (Mini con...