Objective: Since the introduction of percutaneous nephrolithotomy (PCNL), many changes have been added regarding the entrance to pyelocalyceal system such as insertion of the needle pointed to an opaque stone as a guided landmark. We aim at comparing the outcomes of managing renal calculi with and without retrograde pyelography. Materials and Methods: In a randomized clinical trial, 55 cases wi...

OBJECTIVE To determine the safety and efficacy of tubeless percutaneous nephrolithotomy (PCNL). METHODS A quasi-experimental study conducted on 50 patients, at a specialized urology centre. RESULTS The primary success rate of the procedure in terms of stone clearance was 70%. Mean length of hospital stay was 2.44 days. There were no significant complications during or after the surgery. C...

Mainz pouch II is a reliable and viable technique of continent urinary diversion. Patients are at increased risk of long-term complications including urolithiasis of the upper urinary tract and reservoir. We report the case of a 67-year-old male with prior Mainz pouch II due to invasive bladder cancer treated for a large renal calculus. Percutaneous nephrolithotomy (PCNL) was successfully perfo...

PURPOSE To evaluate the percutaneous access outcomes and complications following percutaneous nephrolithotomy (PCNL) that was obtained by sonographer or urologist at a single academic institution. MATERIAL AND METHODS A retrospective chart review of 259 patients who underwent PCNL was performed. Patients were stratified according to percutaneous access by sonographer (group 1) or urologist (g...

The incidence of kidney stones in children has increased recent years. Unlike adults, the treatment pediatric is more difficult because size and high risk recurrence.
 present study aimed to evaluate management with percutaneous nephrolithotomy general both types (PCNL).
 Methods. This retrospective cross-sectional was conducted at Al-Safeer Al-Imam Al-Hussein Hospital from November 1...

The Accordion stone management device is a hydrophilic microcatheter-based tool that blocks stone migration. This instrument has been described for use during ureteroscopy to prevent retropulsion of stone fragments. We used this device during percutaneous nephrolithotomy (PCNL) in 30 patients to prevent antegrade migration of stone fragments (group 1), and find that the device is easily inserte...

OBJECTIVE To study the efficacy of peritubal infiltration in postoperative pain following percutaneous nephrolithotomy in general PCNL patients and PCNL patients with supracostal renal access. PATIENTS AND METHODS A total of 105 PCNL patients were randomized into two groups, 53 patients receiving peritubal analgesic infiltration (study group) and 52 patients as the control group. Of these pat...

INTRODUCTION Percutaneous nephrolithotomy (PCNL) is a standard, safe, and efficient method for removing large renal calculi. Despite development of endourologic equipment, complications of the PCNL are still prevalent. Even though therapeutic modalities such as mini-micro PCNL have been developed in recent years, the complications are a serious concern yet. The most important complication is he...

Objectives To review the management of patients with neurogenic bladder undergoing percutaneous nephrolithotomy (PCNL) at our institution aim assessing peri-operative morbidity. Subjects/patients and methods We conducted a retrospective all who underwent PCNL hospital in last decade Results A total 298 were performed during study period which 58 or urinary diversion, 33 SCI patients. Preoperati...

Renal and ureteric calculi is an uncommon problem in western hemisphere but Pakistan being in the middle of the stone belt has much higher incidence. Open surgery has produced excellent results but the non-invasive lithotripsy and minimally invasive endoscopic management of urinary tract stones has changed the attitudes towards acceptance of open surgery by patients and the relatives. Extracorp...