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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

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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...
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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Related Experiment Video

Updated: Apr 15, 2026

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Supine pediatric percutaneous nephrolithotomy (PCNL).

W Gamal1, E Moursy1, M Hussein1

  • 1Department of Urology, Sohag University, Egypt.

Journal of Pediatric Urology
|March 31, 2015
PubMed
Summary
This summary is machine-generated.

Supine percutaneous nephrolithotomy (PCNL) is a safe and effective treatment for pediatric kidney stones, offering advantages in anesthesia and access. Further studies are needed to confirm its efficacy compared to prone PCNL.

Keywords:
PCNLPediatricStoneSupine

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Supine PCNL in adults shows varied outcomes compared to prone PCNL.
  • Previous studies suggest potential benefits of supine PCNL in adult populations regarding patient morbidity.
  • This study explores supine PCNL in pediatric patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of supine percutaneous nephrolithotomy (PCNL) in pediatric patients.
  • To assess the outcomes of supine PCNL for managing renal calculi in children.

Main Methods:

  • A prospective study of 27 children (21 boys, 6 girls) with renal calculi treated with supine PCNL.
  • Utilized a sheathless 19 Fr. rigid nephroscope with acute tract dilation.
  • Standardized technique included marking the posterior axillary line and elevating the ipsilateral shoulder and hip.

Main Results:

  • Successful stone removal, including upper calyceal stones, via a single lower calyceal access.
  • Average operative time was 41 ± 15 minutes.
  • Initial stone-free rate was 92.5%, with two intraoperative complications and two cases of postoperative fever.

Conclusions:

  • Pediatric supine PCNL is a safe and effective method for renal stone management.
  • Advantages include easy upper calyx access, low fluid absorption, and simplified anesthesia monitoring.
  • Larger comparative studies are needed to further validate these findings.