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...

Urolithiasis is a worldwide problem in the general population, due to its high prevalence and frequency of recurrence. Since the first successful stone extraction through a nephrostomy in 1976, percutaneous nephrolithotomy (PCNL) has become the preferred procedure especially for treatment of large, complex staghorn calculi. Of the minimally invasive treatment strategies, the PCNL procedure is s...

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.

Percutaneous nephrolithotomy (PCNL) is a safe and effective treatment for renal stones and is the first-line treatment modality for stone burdens greater than 20mm. Respiratory complications during PCNL are generally associated with surgical technique leading to violation of the lung pleura. However, complications related to repositioning after intubation are still possible. Here, we describe a...

We report a case of intrarenal pseudoaneurysm of the right kidney after percutaneous nephrolithotomy (PCNL) in supine position. Diagnosis was established by angiotomography with a 3-D reconstruction. Treatment was successfully achieved by endovascular occlusion using N-butyl-2-cyanoacrylate.

Percutaneous nephrolithotomy (PCNL) is recommended procedure for stones greater than 2 cm This being used commonly by all urologists worldwide. With increasing using of imaging studies, the incidence large staghorn calculus has been consistently decreasing because most are detected while they still small. In this case report we presenting a size 6.7×5.2 which was completely cleared PCNL with ne...

PURPOSE To compare the efficacy of percutaneous nephrolithotomy (PCNL) as a primary procedure of patients following previous open surgery or post percutaneous nephrolithotomy (PCNL) for renal calculi. MATERIALS AND METHODS The medical records of 367 patients who underwent PCNL by a single surgeon from January 2008 to December 2013 were reviewed retrospectively. All patients were divided into ...

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: In this study, we aimed to compare the success and complication rates of percutaneous nephrolithotomy (PCNL) according preoperative glomerular filtration (GFR) patients who underwent PCNLdue kidney stones. Material Methods: Between January 2012 December 2016, 794 PCNL due Stones were evaluated retrospectively. Preoperative GFR values calculated Cockcroft –Gault formula. The with valu...

Percutaneous nephrolithotomy (PCNL) is a common urological procedure for the treatment of renal pelvis and upper ureteric stones. It is associated with a number of different complications which can be broadly divided into access and nephrolithotomy related complications. Whilst reported, splenic injury is an unusual and rare complication. We describe the management of a trans-splenic access ass...