Percutaneous Nephrolithotomy: From Access to Exit

Course directors:
Arthur Smith, MD
Ralph Clayman, MD

Percutaneous nephrolithotomy (PCNL) is the gold standard procedure for large kidney stones. Despite technological advancement and refinements in surgical techniques, PCNL remains one of the most challenging procedures. Technical challenges with renal access and concerns over morbidity of the operation due to a lack of familiarity and ability to troubleshoot challenges or complications may lead surgeons to avoiding PCNL when it is the ideal surgical approach to a stone. At this didactic course, two pioneers of Endourology, Dr. Arthur Smith and Dr. Ralph Clayman will share their knowledge on tips and tricks for a successful PCNL.

Learning objectives:

  • Optimal patient selection for URS, SWL and PCNL procedures
  • Review of imaging modalities and planning for PCNL
  • Patient positioning and instrumentation for PCNL
  • Perform prone flexible cystoscopy
  • Recognize and manage complications of PCNL
  • Tips and tricks for fluoroscopy guided, endoscopic and ultrasound guided percutaneous access to the kidney
  • Apply knowledge gained in this course to develop a practice in which PCNL becomes an integral surgical procedure in the treatment of stone disease
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