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
Keywords: ultrasound, percutaneous renal access, nephrolithotomy

Abstract

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.

Author Biography

Darren Beiko

Associate Professor, Department of Urology, Queen's University

Published
2019-09-27
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. https://doi.org/10.5489/cuaj.6076
Section
Techniques in urology