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Percutaneous Stone Removal

  • Chapter
Advanced Endourology

Part of the book series: Current Clinical Urology ((CCU))

Abstract

In this chapter the method of percutaneous stone removal is reviewed in its entirety. The indications for percutaneous stone removal in the age of shockwave lithotripsy and ureteroscopy are carefully reviewed: staghorn stones, obstruction and stones (e.g., ureteropelvic junction obstruction and calyceal diverticula), renal anomalies (e.g., horseshoe kidney), stones with difficult lower pole anatomy, and calculi that are extremely hard (i.e., Hounsfield units ≥1000). In addition, the technique is presented with the method for percutaneous access and details of intrarenal lithotripsy. Accompanying this section is a detailed account of the instrumentation available. Some tips and tricks for successful stone removal are presented, such as the use of the ureteral access sheath to improve renal access and stone clearance, as well as the use of various hemostatic agents in lieu of placing a percutaneous nephrostomy tube at the termination of the procedure. Also, a full discussion of complications is provided: prevention, recognition, and treatment.

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Authors and Affiliations

  1. Department of Urology, University of California Irvine Medical Center, Orange, CA

    Louis Eichel MD & Ralph V. Clayman MD

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  1. Louis Eichel MD
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  2. Ralph V. Clayman MD
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  1. The University of Wisconsin Medical School, Madison, WI

    Stephen Y. Nakada MD

  2. The University of Texas Southwestern Medical Center, Dallas, TX

    Margaret S. Pearle MD, PhD

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Eichel, L., Clayman, R.V. (2006). Percutaneous Stone Removal. In: Nakada, S.Y., Pearle, M.S. (eds) Advanced Endourology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-954-7_8

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  • DOI: https://doi.org/10.1007/978-1-59259-954-7_8

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