Solo Ultrasonography-Guided Percutanous Nephrolithotomy for Single Stone Pelvis

Abstract

Solo US-guided PCNL can be performed safely as an alternative to the fluoroscopy-guided PCNL for single stone pelvis in a moderately to markedly dilated PCS by an experienced urologist.

Feasibility of Pure Ultrasonography Guided Percutaneous Nephrolithotomy in Flank Position

“…The proper patient selection, perfect equipment and technique, and accurate follow-up are three considerable points for acceptable results and avoiding significant complications in this modality (6). Key prerequisite for success of PCNL is appropriate renal access.…”

Ultrasound - guided access during percutaneous nephrolithotomy: entering desired calyx with appropriate entry site and angle

“…There have been reports about the safety and success of ultrasonography directed renal access or solo-sono PCNL (1–6, 12). Nevertheless, we could neither find any article describing the success of ultrasonography in targeting the access to the pre-selected calyx nor we could find publications describing the situations regarding renal anatomy or stone morphology that make ultrasonography directed renal PCNL difficult or bothersome.…”

Which Is the Preferred Modality of Renal Access for a Trainee Urologist: Ultrasonography or Fluoroscopy? Results of a Prospective Randomized Trial

“…17,18 Despite so many advantages, only a handful of studies have looked at utilizing only US guidance for PCNL. [17][18][19] All of them showed that totally US-guided PCNL was a safe alternative to the traditional fluoroscopic technique. [17][18][19] Despite such encouraging reports, fluoroscopy is still the most commonly used technique as shown by the Clinical Research Office of the Endourological Society (CROES) PCNL data, which reveal that 86.3% of patients 7,8 The present study also demonstrates a similar decline (9 vs 43.8 seconds, p < 0.0001).…”

“…[17][18][19] All of them showed that totally US-guided PCNL was a safe alternative to the traditional fluoroscopic technique. [17][18][19] Despite such encouraging reports, fluoroscopy is still the most commonly used technique as shown by the Clinical Research Office of the Endourological Society (CROES) PCNL data, which reveal that 86.3% of patients 7,8 The present study also demonstrates a similar decline (9 vs 43.8 seconds, p < 0.0001). It does not show any difference in the time taken to achieve the puncture (152.9 vs 144.3 seconds, p = 0.38), which is unlike what was reported in the Basiri study, where the mean duration of access was higher in the ultrasound group (11 vs 5.5 minutes, p = 0.0001).…”