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

  • Author(s): Beiko, Darren;
  • Razvi, Hassan;
  • Bhojani, Naeem;
  • Bjazevic, Jennifer;
  • Bayne, David B;
  • Tzou, David T;
  • Stoller, Marshall L;
  • Chi, Thomas
  • et al.

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Ultrasonography has emerged as an alternative to fluoroscopy for image-guided percutaneous nephrolithotomy (PCNL) in many countries. Compared to fluoroscopy-guided PCNL (F-PCNL), ultrasound-guided PCNL (US-PCNL) is easier to learn and reduces radiation exposure to patients and providers. Despite these advantages, uptake of ultrasound-guided PCNL (US-PCNL) in Canada has been almost nonexistent, largely because it is not incorporated into urologists' training. In this article, we seek to familiarize Canadian urologists with this approach by describing our step-by-step technique for US-PCNL. Additionally, we provide keys to successful implementation of this technique.

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