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

Area of Science:

• Urology
• Medical Imaging
• Surgical Techniques

Background:

• Ultrasonography is increasingly used as an alternative to fluoroscopy for percutaneous nephrolithotomy (PCNL).
• Ultrasound-guided PCNL (US-PCNL) offers benefits like reduced radiation exposure and ease of learning compared to fluoroscopy-guided PCNL (F-PCNL).
• Despite advantages, US-PCNL adoption in Canada is limited due to lack of integration into urology training programs.

Purpose of the Study:

• To familiarize Canadian urologists with the step-by-step technique of US-PCNL.
• To provide essential guidance for the successful implementation of US-PCNL.
• To promote the adoption of a safer, radiation-free alternative for kidney stone removal.

Main Methods:

• Detailed description of the step-by-step technique for performing US-PCNL.
• Outline of key strategies for successful implementation in clinical practice.
• Focus on practical aspects relevant to urological surgeons.

Main Results:

• US-PCNL is presented as a viable and advantageous alternative to F-PCNL.
• The article provides a procedural guide to facilitate learning and adoption.
• Key factors for successful implementation are identified.

Conclusions:

• US-PCNL is a valuable technique that should be more widely adopted.
• Training and implementation strategies are crucial for increasing US-PCNL utilization.
• Canadian urologists can benefit from integrating US-PCNL into their practice to reduce radiation exposure.