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Preoperative indications for percutaneous nephrolithotripsy in 2009
Carlos E Méndez Probst1, John D Denstedt, Hassan Razvi
1Department of Surgery, Schulich School of Medicine & Dentistry, The University of Western Ontario , London, Ontario, Canada .
Journal of Endourology
|July 28, 2009
Summary
Percutaneous nephrolithotripsy (PNL) remains essential for managing large upper tract stones. Indications for this effective procedure have expanded significantly over 30 years.
Area of Science:
- Urology
- Nephrology
- Surgical Procedures
Background:
- Percutaneous nephrolithotripsy (PNL) has been utilized for over three decades.
- Advancements in shock wave lithotripsy and ureteroscopy have occurred.
- PNL is a cornerstone in treating upper tract urinary stones.
Purpose of the Study:
- To review the current indications for PNL.
- To highlight the enduring role of PNL in stone management.
Main Methods:
- Literature review of PNL indications.
- Analysis of contemporary surgical management strategies for upper tract stones.
Main Results:
- PNL indications have substantially broadened since its inception.
- PNL remains a primary treatment for complex and large-volume upper tract stones.
- Despite alternative technologies, PNL's role is undiminished.
Conclusions:
- PNL is a vital procedure for specific stone burdens.
- The scope of PNL applications continues to evolve.
- PNL is indispensable for managing challenging upper tract calculi.
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