Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal
The authors demonstrate a successful reduction in size from 30F for conventional PCNL to 11F in ultra-mini-PCNL. This reduction will reduce tissue trauma and bleeding.[1] Further, they did not routinely use a nephrostomy or stent which will possibly allow us to categorize ultra-mini-PCNL as less inv...
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| Format: | Article |
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Medknow
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| Online Access: | http://irep.iium.edu.my/56287/ http://irep.iium.edu.my/56287/1/IndianJUrol000-813092_223509.pdf http://irep.iium.edu.my/56287/7/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_SCOPUS.pdf http://irep.iium.edu.my/56287/8/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_WOS.pdf |
| _version_ | 1848784708552359936 |
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| author | Kamarulzaman, Mohd Nazli |
| author_facet | Kamarulzaman, Mohd Nazli |
| author_sort | Kamarulzaman, Mohd Nazli |
| building | IIUM Repository |
| collection | Online Access |
| description | The authors demonstrate a successful reduction in size from 30F for conventional PCNL to 11F in ultra-mini-PCNL. This reduction will reduce tissue trauma and bleeding.[1] Further, they did not routinely use a nephrostomy or stent which will possibly allow us to categorize ultra-mini-PCNL as less invasive than conventional PCNL.
However, the question which is not solved from this study was regarding the specific indication for this procedure. In this study, the authors used this procedure to treat renal stone (pelvis, upper calyx, middle calyx, and lower calyx) and upper ureteric stone size between 8 and 20 mm. The other methods of treatment were well established their specific indication. For example, in the European Association of Urology guideline, PCNL is recommended therapy to treat large renal stone (>20 mm) and smaller stones (10–20 mm) of the lower renal calyx when unfavorable factors for shockwave lithotripsy (SWL) exist.[2] Retrograde intrarenal surgery (RIRS) was recommended in treating lower pole renal stone <20 mm.[2] |
| first_indexed | 2025-11-14T16:41:33Z |
| format | Article |
| id | iium-56287 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English English |
| last_indexed | 2025-11-14T16:41:33Z |
| publishDate | 2017 |
| publisher | Medknow |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-562872017-04-17T07:30:33Z http://irep.iium.edu.my/56287/ Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal Kamarulzaman, Mohd Nazli RD Surgery The authors demonstrate a successful reduction in size from 30F for conventional PCNL to 11F in ultra-mini-PCNL. This reduction will reduce tissue trauma and bleeding.[1] Further, they did not routinely use a nephrostomy or stent which will possibly allow us to categorize ultra-mini-PCNL as less invasive than conventional PCNL. However, the question which is not solved from this study was regarding the specific indication for this procedure. In this study, the authors used this procedure to treat renal stone (pelvis, upper calyx, middle calyx, and lower calyx) and upper ureteric stone size between 8 and 20 mm. The other methods of treatment were well established their specific indication. For example, in the European Association of Urology guideline, PCNL is recommended therapy to treat large renal stone (>20 mm) and smaller stones (10–20 mm) of the lower renal calyx when unfavorable factors for shockwave lithotripsy (SWL) exist.[2] Retrograde intrarenal surgery (RIRS) was recommended in treating lower pole renal stone <20 mm.[2] Medknow 2017 Article PeerReviewed application/pdf en http://irep.iium.edu.my/56287/1/IndianJUrol000-813092_223509.pdf application/pdf en http://irep.iium.edu.my/56287/7/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_SCOPUS.pdf application/pdf en http://irep.iium.edu.my/56287/8/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_WOS.pdf Kamarulzaman, Mohd Nazli (2017) Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal. Indian Journal of Urology, 33 (1). p. 90. ISSN 0970-1591 http://www.indianjurol.com/text.asp?2017/33/1/90/195762 10.4103/0970-1591.195762 |
| spellingShingle | RD Surgery Kamarulzaman, Mohd Nazli Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title | Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title_full | Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title_fullStr | Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title_full_unstemmed | Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title_short | Re: Agrawal et al. Ultra-mini-percutaneous nephrolithotomy: A minimally-invasive option for percutaneous stone removal |
| title_sort | re: agrawal et al. ultra-mini-percutaneous nephrolithotomy: a minimally-invasive option for percutaneous stone removal |
| topic | RD Surgery |
| url | http://irep.iium.edu.my/56287/ http://irep.iium.edu.my/56287/ http://irep.iium.edu.my/56287/ http://irep.iium.edu.my/56287/1/IndianJUrol000-813092_223509.pdf http://irep.iium.edu.my/56287/7/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_SCOPUS.pdf http://irep.iium.edu.my/56287/8/56287-Re_Agrawal%20et%20al.%20Ultra-mini-percutaneous%20nephrolithotomy_WOS.pdf |