The majority of strictures after HoLEP are likely due to the use of a larger nephroscope
Using 20.8 Fr Karl Storz nephroscope
and Karl Storz pneumatic lithotripter stone fragmentation was done.
As eluent, 0.9% saline was used for irrigation and a Y-TUR kit with a pump that would provide continuous irrigation (Bicakcilar[R], arthroscopy set-with puar, Turkiye) was connected to the nephroscope
(Karl Storz[R], Germany).
We then entered the collecting system using a nephroscope
(12-30 fr, Nephroscope
, Karl Storz, Germany).
Although a flexible nephroscope
could be used for complete clearance of staghorn stones, it is ineffective in cases with a narrow infundibulum because the nephroscope
is fixed in the outlet of the calyx.
Visual puncture channel group: A visual standard channel and a visual superfine precision puncture channel were established through the F4.8 visual puncture nephroscope
Then 26F nephroscope
was introduced and stones were fragmented with lithoclast and taken out with forceps.
CrediMax recently donated the necessary funds to King Hamad University Hospital to purchase a Percutaneous Nephroscope
, which comes in line with the company's commitment to support its community.
(ii) A better exposure of the flank and an increased distance between the last rib and the iliac crest (as reported by Desoky), providing a wider space for puncture, dilatation, and maneuverability of the nephroscope
. This is feasible thanks to the fact that a single support is placed under the shoulder, and not under the lumbar region as in the Valdivia position (Figure 1).
 had also reported a successful use of a rigid nephroscope
for laparoscopic common bile duct explorations.
Fragmentation time was defined as time elapsed from insertion of the rigid nephroscope
to placement of the nephrostomy tube.
 Mini-PCNL Amplatz RIRS -- Study Treatment Nephroscope
size Lee et al.