Percutaneous renal and ureteral stone removal

Area of Science:

• Urology
• Minimally Invasive Surgery
• Medical Imaging

Background:

• Upper urinary tract calculi (kidney stones) traditionally treated with open surgery.
• Percutaneous nephrolithotomy (PCNL) has emerged as a significant advancement.
• Minimally invasive approaches are increasingly preferred for stone removal.

Purpose of the Study:

• To highlight percutaneous removal as an accepted alternative to surgical treatment for upper urinary tract calculi.
• To emphasize the techniques and control methods used in percutaneous calculus removal.
• To underscore the importance of interdisciplinary collaboration in improving procedural success rates.

Main Methods:

• Percutaneous removal of calculi through large nephrostomy tracts.
• Utilizing fluoroscopic guidance for stone visualization and removal.
• Employing endoscopic control during the percutaneous procedure.

Main Results:

• Percutaneous removal is an established alternative to surgical intervention for upper urinary tract stones.
• Calculi can be effectively removed via large nephrostomy tracts.
• Both fluoroscopic and endoscopic controls are key procedural elements.

Conclusions:

• Percutaneous calculus removal is a safe and effective alternative to traditional surgery.
• The success rate of percutaneous procedures is enhanced by close radiologist-urologist cooperation.
• Optimizing technique and collaboration are crucial for successful percutaneous stone management.