Related Experiment Video
Updated: Sep 11, 2025

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Bilateral synchronous percutaneous nephrolithotomy in single session: A case from a district hospital
Mohamad Rheza Firmansyah1, Andhika Hernawan Novianda2, Widi Atmoko1
1Department of Urology, Cipto Mangunkusumo General Hospital, Universitas Indonesia, Jakarta, Indonesia.
None:
Kidney stones are the most common urological condition worldwide, with rising prevalence. Bilateral cases present challenges such as longer surgery, anesthesia risks, and extended hospitalization. We report a case of a 59-year-old female with bilateral hydronephrosis and multiple stones, successfully treated with bilateral synchronous percutaneous nephrolithotomy (PCNL) at a district-level hospital in Surakarta, Indonesia. Using existing nephrostomy access and meticulous planning, the procedure minimized operative time and blood loss. Full stone clearance was achieved without complications, and renal function remained stable. Bilateral synchronous PCNL is a cost-effective, efficient option in selected patients, requiring advanced surgical expertise and well-coordinated care.
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Acute Pyelonephritis II: Diagnostic Studies and Management
Kidney Transplant II: Surgical Procedure
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Urinary Tract Calculi V: Nursing Management
Urinary Tract Calculi III: Medical Management

