Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

Kidney Transplant II: Surgical Procedure

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

Urologic Endoscopic Procedure: Cystoscopic Examination

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

How I Do It: ERAS protocol featuring erector spinae plane block for percutaneous nephrolithotomy.

The Canadian journal of urology·2023

Same author

LeGrand N. Denslow: Pioneer in dermatology or charlatan?

Clinics in dermatology·2021

Same author

Frailty as predictor of complications in patients undergoing percutaneous nephrolithotomy (PCNL).

World journal of urology·2021

Same author

Efficacy of Multi-Detector Computed Tomography for the Diagnosis of Medullary Sponge Kidney.

Current urology·2018

Same author

Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands on training percutaneous renal access.

World journal of urology·2018

Same author

Prediction of surgical complications in the elderly: Can we improve outcomes?

Asian journal of urology·2017

Search research articles

Related Experiment Video

Updated: Jun 19, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Synchronous bilateral percutaneous nephrostolithotomy.

Steve K Williams¹, David M Hoenig

¹Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.

Journal of Endourology

|October 10, 2009

Summary

This summary is machine-generated.

Synchronous bilateral percutaneous nephrostolithotomy (PCNL) offers high stone-free rates and short hospital stays for large bilateral renal stones. Despite cost advantages, surgeon reimbursement remains a challenge.

More Related Videos

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Related Experiment Videos

Last Updated: Jun 19, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Area of Science:

Urology
Nephrology
Surgical Innovation

Background:

Large bilateral renal stones present complex treatment challenges.
Treatment options include staged PCNL, synchronous PCNL with ureterorenoscopy, and synchronous bilateral PCNL.
Synchronous bilateral PCNL is a viable option under specific criteria.

Purpose of the Study:

To review the experience and current recommendations for synchronous bilateral PCNL.
To evaluate the outcomes, costs, and reimbursement of synchronous bilateral PCNL.

Main Methods:

Review of existing literature and clinical experience with synchronous bilateral PCNL.
Analysis of stone-free rates, complication rates, hospital stay, and transfusion rates.
Cost-effectiveness and reimbursement analysis comparing synchronous vs. staged bilateral PCNL.

Main Results:

High stone-free rates (95%-97%) reported for synchronous bilateral PCNL.
Low complication rates (9%-12%) and short hospital stays (4-6 days).
Significant cost advantage for synchronous bilateral PCNL, but surgeon reimbursement is a disincentive.

Conclusions:

Synchronous bilateral PCNL is an effective treatment for large bilateral renal stones.
The procedure demonstrates favorable outcomes and cost-effectiveness.
Addressing reimbursement issues is crucial for wider adoption of synchronous bilateral PCNL.