Endoscopically guided percutaneous renal access: "seeing is believing".
Image-guided percutaneous nephrostomy tube placement can be a challenging procedure, particularly in a nondilated system or in the morbidly obese patient. Herein, we report the routine use of ureteroscopy-guided percutaneous renal access. With this method, rapid, accurate creation and dilation of the nephrostomy tract is assured in all patients regardless of body habitus or stone burden.
Khan
Farhan
F
Department of Urology, University of California, Irvine, Orange, California 92868, USA.
Borin
James F
JF
Pearle
Margaret S
MS
McDougall
Elspeth M
EM
Clayman
Ralph V
RV
D019723:Endoscopes; D005471:Fluoroscopy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007668:Kidney / Q000473:pathology; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation / Q000379:methods*; D018666:Ureteroscopy / Q000379:methods*; D014551:Urinary Tract / Q000473:pathology