An Overview of Percutaneous Nephrolithotomy - European Medical Journal

An Overview of Percutaneous Nephrolithotomy

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Huseyin Celik, Cemal Tasdemir, *Ramazan Altintas

No potential conflict of interest.

EMJ Urol. ;3[1]:46-52. DOI/10.33590/emjurol/10313975.
Urolithiasis, percutaneous nephrolithtomy (PCNL), mini-PCNL, micro-PCNL.

Each article is made available under the terms of the Creative Commons Attribution-Non Commercial 4.0 License.


Urolithiasis is a worldwide problem in the general population, due to its high prevalence and frequency of recurrence. Since the first successful stone extraction through a nephrostomy in 1976, percutaneous nephrolithotomy (PCNL) has become the preferred procedure especially for treatment of large, complex staghorn calculi. Of the minimally invasive treatment strategies, the PCNL procedure is simply based  on the creation of a proper percutaneous renal access, through the most appropriate part of the kidney,  dilation of this tract, and fragmentation. Most of these complications are related to tract formation and size. During the development of the PCNL technique, the different terminology emerged, mainly  according to the tract size such as standard, micro-PCNL, mini-PCNL, and ultra-mini-PCNL. The aim of this study is an overview of the PCNL, including the history, training, procedure and type of PCNL, and  possible complications.

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