Techniques – Ultrasound-guided percutaneous nephrolithotomy: How we do it


  • Darren Beiko
  • Hassan Razvi
  • Naeem Bhojani
  • Jennifer Bjazevic
  • David B. Bayne
  • David T. Tzou
  • Marshall L. Stoller
  • Thomas Chi



ultrasound, percutaneous renal access, nephrolithotomy


Ultrasonography has emerged as an alternative to fluoroscopy for image-guided percutaneous nephrolithotomy (PCNL) in many countries. Compared to fluoroscopy-guided PCNL (F-PCNL), ultrasound-guided PCNL (US-PCNL) is easier to learn and reduces radiation exposure to patients and providers. Despite these advantages, uptake of ultrasound-guided PCNL (US-PCNL) in Canada has been almost nonexistent, largely because it is not incorporated into urologists’ training. In this article, we seek to familiarize Canadian urologists with this approach by describing our step-by-step technique for US-PCNL. Additionally, we provide keys to successful implementation of this technique.


Download data is not yet available.

Author Biography

Darren Beiko

Associate Professor, Department of Urology, Queen's University



How to Cite

Beiko, D., Razvi, H. ., Bhojani, N. ., Bjazevic, J. ., Bayne, D. B. ., Tzou, D. T. ., Stoller, M. L. ., & Chi, T. . (2019). Techniques – Ultrasound-guided percutaneous nephrolithotomy: How we do it. Canadian Urological Association Journal, 14(3), E104–10.



Techniques in urology