OBJECTIVES (1) To evaluate the safety and efficacy of supine percutaneous nephrostomy, nephrolithotomy, and combined percutaneous nephrolithotomy and ureteroscopic lithotripsy. (2) To describe the skill-acquiring process in supine procedures and share our initial experience. DESIGN Three-staged case series with prospective data collection. SETTING Two public hospitals in Hong Kong. PATIEN...

Objectives: Percutaneous nephrolithotomy on staghorn calculi is challenging for urologists because it is difficult to remove all of the stones. The purpose of this study was to evaluate the associated factors of stone-free rate after primary percutaneous nephrolithotomy on staghorn calculi in a large series of patients at a single, tertiary referral, endourologic stone center. Methods: We colle...

background nowadays percutaneous nephrolithotomy (pcnl) is performed in prone and supine positions. physiologic solutions should be used to irrigate during pcnl. irrigation can cause hemodynamic, electrolyte and acid-base changes during pcnl. objectives the current study aimed to compare the electrolyte, hemodynamic and metabolic changes of prone and complete supine pcnl. patients and methods i...

Percutaneous nephrolithotomy is an invasive procedure applied to large and complex stones in the prone or supine position. Various complications—but mostly fever bleeding—can be seen during after procedure. Neighboring organ injuries are rare access. Liver rarely have a better clinical prognosis than other injuries. We present management of liver injury with ptosis retro-renal right lobe as com...

OBJECTIVE To present a previously unreported long term complication of percutaneous nephrolithotomy for exclusive renal stone. METHODS/RESULTS A 30-years-old woman underwent percutaneous nephrolithotomy for a obstructive pelvic stone, through inferior calix access achieving a stone free status. During the procedure occurred an inadvertent pelvis perforation, but the early evolution was otherw...

BACKGROUND Percutaneous nephrolithotomy is the treatment of choice in large and staghorn renal stones, and myocardial infarction is one the possible complications during and after the surgery. We investigated if renal and skeletal muscle injury, caused by percutaneous nephrolithotomy, can cause elevation in cardiac troponins (cTn). METHODS This study was conducted on otherwise healthy patient...

Percutaneous nephrolithotomy is a widely accepted treatment for urinary calculi, but it is not without complications. We present the case of a 76-year-old male with a retained council tip catheter after percutaneous nephrolithotomy. Fluoroscopic guidance was used to perform percutaneous puncture of the catheter balloon, and the catheter was removed without complication. Advantages of various ne...

Aims and Objective. "Postpercutaneous nephrolithotomy nephrostogram" (PPNN) is routinely performed in most of the centers. No published series could be found in the literature without post percutaneous nephrolithotomy nephrostogram. Hence, the aim of our study is to highlight that post percutaneous nephrolithotomy nephrostogram is not mandatory and it only adds to cost and morbidity without add...

INTRODUCTION Percutaneous nephrolithotomy is generally considered a safe option for the management of large complex or infectious upper urinary tract calculi. Biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality, especially in cases where biliary peritonitis develops. All reported cases of biliary tract injury have b...

purpose: to report a case of posterior ischemic optic neuropathy (pion) following percutaneous nephrolithotomy (pcnl). patient and findings: a 57-year-old male who underwent pcnl because of renal stone was referred due to painless bilateral visual loss to the level of light perception immediately after the operation. the patient had history of diabetes mellitus, hyperlipidemia, and mild anemia....