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Thank you very much to my good friends for voting previous B/L renal stone, 86% with PCNL and 14% with RIRS, great result. But I did Rt.Mini and Lt Std PCNL,single stage with complete clearance in 2hours

Wonderful conference in Penang, Malaysia.,thanks to the Malaysian Urological Association for the opportunity to perform Live demonstration of Mini PCNL. Very well attended conf.great, scientific program and appreciate the royal Hospitality.

I find the pneumatic lithoclast to be a more effective and cost-efficient energy source for Mini PCNL."

"In PCNL, antegrade contrast injection following initial puncture with fluid can help prevent intraoperative and postoperative bleeding."

16fr straw as a access sheath.The most economical consumable in Mini PCNL.

Lost Mini PCNL tract ?? can identify it's way by irrigation pump and Mini scope 12Fr.

Papillary puncture means bloodless PCNL.

Evening view from my hospital in Kathmandu,Nepal.

"FIRST ANNOUNCEMENT OF MINI PCN WORKSHOP" Glad to share that we are organising Mini PCNL workshop in Nepal.kindly block your dates 11/12 Oct 2025.

Celebrating 20 Years of Mini PCNL in Nepal! I am honored to celebrate the 20th anniversary of Mini PCNL in Nepal. It has been an incredible journey since I had the privilege of learning this groundbreaking technique from Prof. Zeng, a world-renowned urologist, two decades ago.

Very hard renal stone, 40x40mm calcium oxalate monohydrate, 2000 HU,used pneumatic lithoclast for stone disintegration which took 2 hrs 30 mins. I wonder whether laser can be used for such stones???? I w