Percutaneous nephrolithotomy: Tricks and tips for access and stone removal

Although percutaneous nephrolithotomy (PCNL) comprises only 4% to 6% of all stone surgeries, it behooves the urologist with an interest in stone disease to be facile in this treatment modality in order to offer patients the most appropriate and effective treatment for their stones.

 

 

Preoperative imaging

 

 

 

 

Selecting the optimal calyx for puncture

 

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Hannah Clarke

"The Stone Clear device provides patients with a non-invasive option to reduce their residual fragment stone burden in the clinic environment while being fully awake," says James E. Lingeman, MD.

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“You have tradeoffs with every device that you use,” says Amy E. Krambeck, MD.

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