The simultaneous use of the nephroscopy
and fURS in our approach was thought to help reduce excessive movement of the PCNL tract, thereby reducing renal parenchymal injury and bleeding.
Clearance was checked under fluoroscopy and nephroscopy
readily identified the calculus, which was removed intact using a percutaneous nitinol stone basket.
Rupel and Brown performed the first nephroscopy
was performed and ultrasonic images were taken to determine about the stone clearance and residual fragments.
Those with PCN performed for supplementary procedures like percutaneous nephroslithotomy (PCNL), ureteric stent insertion, nephroscopy
and biopsy, were also excluded.
The patient then was admitted for percutaneous nephroscopy
with the guidance of B ultrasound.
identified the stone in the renal pelvis which was removed.
After securing renal access, tract dilatation and placing the working sheath, a rigid nephroscope was inserted under direct vision and Nephroscopy
performed under video endoscopic monitoring.
with removal of stone following nephrostomy for obstructive calculus anuria.
Why is percutaneous nephroscopy
still performed with patient prone?
Although single access and flexible nephroscopy
has been recommended as the most effective means of curing full staghorn stones, it is less popular as it is labor-intensive and time-consuming.