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Percutaneous Access to the Urinary Tract

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Advanced Endourology

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

Abstract

Percutaneous access to the kidney is the most important step in percutaneous nephrolithotomy because the site of puncture determines how easily the targeted stone can be treated. Strategies to maximize the use of rigid instruments and allow for the performance of concurrent procedures, such as endopyelotomy, while minimizing patient discomfort and pleural morbidity should be considered when planning the site of access. The ability of the urologist to perform percutaneous access allows for flexibility in the procedure, particularly if multiple accesses are necessary and obviates the need for dependence on a radiologist’s schedule. This chapter reviews the indications for percutaneous nephrolithotomy and the technique of percutaneous access.

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Author information

Authors and Affiliations

  1. Indiana Kidney Stone Institute, Methodist Hospital Institute for Kidney Stone Disease, and Indiana University School of Medicine, Indianapolis, IN

    Samuel C. Kim MD

  2. Institute for Kidney Stone Disease, Methodist Hospital, and Indiana University School of Medicine, Indianapolis, IN

    James E. Lingeman MD, FACS

Authors
  1. Samuel C. Kim MD
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  2. James E. Lingeman MD, FACS
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Editor information

Editors and Affiliations

  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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© 2006 Humana Press Inc., Totowa, NJ

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Kim, S.C., Lingeman, J.E. (2006). Percutaneous Access to the Urinary Tract. 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_3

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  • DOI: https://doi.org/10.1007/978-1-59259-954-7_3

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-446-3

  • Online ISBN: 978-1-59259-954-7

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