OBJECTIVE To perform a prospective randomized trial comparing the efficacy and safety of percutaneous nephrolithotomy (PCNL) in the prone and modified supine positions. METHODS Between August 2010 and August 2011, 102 patients with renal calculi and 20 patients with ureteral calculi were randomized to undergo fluoroscopy and ultrasound-guided PCNL procedures in the prone or modified supine po...

PURPOSE To evaluate surgical outcomes of laparoscopic pyelolithotomy (LP) and percutaneous nephrolithotomy (PCNL) in managing multiple renal stones in various parts of the pelvocalyceal system. SUBJECTS AND METHODS From February 2004 to December 2011, 45 patients underwent LP, and 39 underwent PCNL for treatment of pelvic stone(s) with calyceal stone(s). Differences in demographics, periopera...

Objective Percutaneous nephrolithotomy (PCNL) is commonly used in the management of large renal stones. Postoperative infections are one of the most common complications of this procedure. The present study is to determine and assess the factors that may increase the risk to develop fever and urinary sepsis after PCNL. Methods A total of 60 patients (38 males and 22 females) with a mean age o...

A JJ stent is inserted antegradely after percutaneous renal procedures like percutaneous nephrolithotomy (PCNL) for renal calculus disease, and for endopyelotomy for pelvi-ureteric junction obstruction. We describe a technique for antegrade stent insertion after PCNL.

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...

PURPOSE Percutaneous nephrolithotomy (PCNL) is conventionally conducted in the prone position. However, the prone position increases anesthesia-related morbidity and position changes lengthen the operation time. We report perioperative outcomes and the learning curve for flank PCNL on the basis of a single surgeon's experience. MATERIALS AND METHODS This study investigated 53 cases of flank P...

Corresponding author: Hakan Öztürk Department of Urology, Sifa University School of Medicine, Fevzipasa Boulevard No: 172/2, 35240, Basmane-Konak, Izmir, Turkey Tel: +902324460880 / Fax: +902324460770 E-mail: [email protected] Submitted: January 21, 2014 / Accepted after revision: February 19, 2014 To the editor: Percutaneous nephrolithotomy (PCNL) was first reported by Fernstrom et al...

The fact that operating a patient in the supine position is easier than in a prone position is rather intuitive: apart from PCNL and, obviously, spinal surgery, there is no surgery of retroperitoneal organs performed in the prone position. So, why is it that nowadays PCNL is performed in the supine position only in 20% of cases worldwide? [1]. Indeed, the prone position was adopted in the pione...

OBJECTIVES To suggest a novel disposable percutaneous nephrolithotomy (PCNL) set that we named the 'Economical One-shot PCNL Set' (Ecoset), which consists of a single 30-F dilator, 30-F sheath, and 8-F polyurethane dilator, as use of a 'one-shot' dilatation technique during PCNL is becoming widespread. PATIENT AND METHODS The medical records of 42 patients with kidney stones who had undergone...

Percutaneous nephrolithotomy (PCNL) is a standard treatment for patients with large or complex kidney stones. The procedure has traditionally included postoperative placement of a nephrostomy tube to allow for drainage and possible reentry. This practice was first implemented after complications incurred after tubeless PCNL in a small patient population. Recently, tubeless PCNL has reemerged as...