Efficiency of Imaging Methods Prior to Percutaneous Nephrolithotomy

Tolga Karakan,1 Mustafa Resorlu,2 Murat Tolga Gulpinar,3 *Berkan Resorlu3

1. Department of Urology, Ankara Training and Research School, Çanakkale, Turkey
2. Department of Radiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
3. Department of Urology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
*Correspondence to drberkan79@gmail.com

Disclosure: No potential conflict of interest.
Received: 09.10.14 Accepted: 03.11.14
Citation: EMJ Urol. 2015;3[1]:53-56.


The most important step of percutaneous nephrolithotomy (PCNL) is planning the puncture site. A well selected puncture will facilitate nephroscopic navigation and stone clearance. The traditional methods  for planning the puncture are intravenous urogram or retrograde pyelogram. Either of these imaging tools is adequate, but new tools such as 3D reconstructed tomography should be more accurate. Many  recently developed imaging tools are promising, but no one is still ideal. The imaging techniques that we currently use have specific advantages and disadvantages. The purpose of this review is to summarise different imaging tools and their effectiveness prior to PCNL.

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