title: Endoscopically guided percutaneous renal access: "seeing is believing".
abstract: 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.
authors.affiliation: Department of Urology, University of California, Irvine, Orange, California 92868, USA.
authors.forename: Farhan
authors.initials: F
authors.lastname: Khan
authors.forename: James F
authors.initials: JF
authors.lastname: Borin
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Pearle
authors.forename: Elspeth M
authors.initials: EM
authors.lastname: McDougall
authors.forename: Ralph V
authors.initials: RV
authors.lastname: Clayman
mesh_terms: 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