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Percutaneous nephrolithotomy

All articles from this key word are listed below.

Volume 6, Number 2 Meeting Reviews

Advances in Endourology

Highlights from the 21st World Congress on Endourology and Shockwave Lithotripsy

Percutaneous nephrolithotomy Laparoscopy Metabolic stone disease

Volume 12, Number 1 Case Review

Transitional Cell Carcinoma Within a Calyceal Diverticulum Associated With Stone Disease

Case Review

Corey Passman Jack M Zuckerman Dean G Assimos

We report a case of transitional cell carcinoma (TCC) discovered within a calyceal diverticulum at the time of percutaneous nephrolithotomy. The stones and tumor were endoscopically removed and the diverticular cavity fulgurated. Pathologic analysis demonstrated low-grade TCC. A subsequent laparoscopic radical nephroureterectomy was performed and high-grade TCC invading the parenchyma was found. This case demonstrates the potential for TCC to develop in stone-containing calyceal diverticula and also the potential for coexistence of different grades of TCC within the involved renal unit.[Rev Urol. 2010;12(1):52-55 doi: 10.3909/riu0446]

Percutaneous nephrolithotomy Urinary tract infection Transitional cell carcinoma Urolithiasis Calyceal diverticulum Stone

Volume 14, Number 1 Meeting Reviews

Innovation in Endourology and Minimally Invasive Surgery

Highlights From the 29th World Congress of Endourology and SWL 2011, November 30-December 3, 2011, Kyoto, Japan

Stacy Loeb James F Borin

[ Rev Urol. 2012;14(1/2):28-30 doi: 10.3909/riu0554] © 2012 MedReviews®, LLC

Percutaneous nephrolithotomy Small renal mass Active surveillance Endourology

Volume 17, Number 3 Case Review

Treatment of Colonic Injury During Percutaneous Nephrolithotomy

Colonic injury during percutaneous nephrolithotomy (PCNL) persists despite the advances in technical equipment and interventional radiology techniques. According to the Clavien-Dindo classification of surgical complications, colonic injury is regarded as a stage IVa complication. Currently, the rate of colonic injury ranges between 0.3% and 0.5%, with an unremarkable difference in incidence between supine and prone PCNL procedures. Colon injury is the most significant complication of PCNL. Colonic injury can result in more complicated open exploration of the abdomen, involving colostomy construction. The necessity of a second operation for the closure of the colostomy causes financial and emotional burden on the patients, patients’ relatives, and surgeons. Currently, the majority of colonic injuries occurring during PCNL are retroperitoneal. The primary treatment option is a conservative approach. It must be kept in mind that the time of diagnosis is as important as the diagnosis itself in colonic injury. Surgeons performing PCNL are advised to be conservative when considering exploratory laparotomy and colostomy construction during treatment of colonic injury. We present the case of a 49-year-old woman who underwent left prone PCNL that resulted in retroperitoneal colonic injury, along with a review of the current literature. [Rev Urol. 2015;17(3):194-201 doi: 10.3909/riu0641] © 2015 MedReviews®, LLC

Percutaneous nephrolithotomy Prevention Urolithiasis Colonic injury Clavien Complication Management

Volume 18, Number 1 Review Articles

Nephrolithometric Scoring Systems to Predict Outcomes of Percutaneous Nephrolithotomy

Management Update

Arthur Smith Zeph Okeke Vincent Bird Piruz Motamedinia Zhamshid Okhunov Simone L Vernez

Currently, there is no single agreement upon an ideal predictive model that characterizes the complexity of renal stones and predicts surgical outcomes following percutaneous nephrolithotomy (PCNL). New predictive tools have recently emerged to systematically and quantitatively assess kidney stone complexity to predict outcomes following PCNL: the Guy’s Stone Score, the CROES nomogram, S.T.O.N.E. nephrolithometry, and S-ReSC score. An ideal scoring system should include variables that both influence surgical planning and are predictive of postoperative outcomes. This review discusses the strengths, weaknesses, and commonalities of each of the above scoring systems. Additionally, we propose future directions for the development and analysis of surgical treatment for stone disease, namely, the importance of assessing radiation exposure and patient quality of life when counseling patients on treatment options. [Rev Urol. 2016;18(1):15-27 doi: 10.3909/riu0693] © 2016 MedReviews®, LLC

Percutaneous nephrolithotomy Urolithiasis Scoring system Nomograms

Volume 18, Number 1 Review Articles

The Role of Antibiotic Prophylaxis in Percutaneous Nephrolithotomy

Prophylactic Management Update

Win Shun Lai Dean G Assimos

Postoperative sepsis is the most common cause of mortality after percutaneous nephrolithotomy (PCNL) procedures. Studies investigating the use of antibiotics in PCNL patients have shown that prophylactic antibiotic regimens can reduce the rate of postoperative infectious complications. In addition, several studies have identified risk factors for sepsis development that can help guide antibiotic treatment and perioperative care overall. This has led the American Urological Association to recommend antibiotic prophylaxis for PCNL as a best practice policy statement. However, despite prophylaxis, postoperative sepsis has continued to remain the leading cause of mortality in PCNL patients. In addition, multiple antibiotic protocols exist within the guideline realms. This review assesses the development and role of antibiotic prophylaxis for PCNL procedures. [Rev Urol. 2016;18(1):10-14 doi: 10.3909/riu0699A] © 2016 MedReviews®, LLC

Percutaneous nephrolithotomy Antibiotic prophylaxis Urosepsis

Volume 22, Number 1 Review Articles

Obesity and Kidney Stone Procedures

Management Review

Nikhi P Singh Carter J Boyd William Poore Kyle Wood Dean G Assimos

Obesity is a chronic disease that has increased in prevalence in the United States and is a risk factor for the development of nephrolithiasis. As with other medical conditions, obesity should be considered when optimizing surgical management and choosing kidney stone procedures for patients. In this review, we outline the various procedures available for treating stone disease and discuss any discrepancies in outcomes or complications for the obese cohort. [Rev Urol. 2020;22(1):24–29] © 2020 MedReviews®, LLC

Percutaneous nephrolithotomy Shockwave lithotripsy Obesity Ureterorenoscopy Robotic surgery Kidney stones Laparoscopy Open surgery

Volume 22, Number 2 Review Articles

Management of Small, Non-obstructing Renal Stones in Adults With Recurrent Urinary Tract Infections

Management Review

Kimberly L Cooper Ron Golan Ojas Shah

The management of small, non-obstructing renal stones in adults with recurrent lower urinary tract infections remains unclear. Whereas for larger or obstructing stones the decision to intervene becomes clearer, for stones smaller than 5 to 6 mm the decision to intervene requires consideration of multiple factors. This review describes these factors, including history, imaging, laboratory studies, as well as a comprehensive review of the literature. It remains of utmost importance that patients have additional possible etiologies appropriately evaluated and managed prior to intervention for their small renal stones. [Rev Urol. 2020;22(2):52–56] © 2020 MedReviews®, LLC

Percutaneous nephrolithotomy Ureteroscopy Shockwave lithotripsy Non-obstructing renal stones Recurrent urinary tract infections