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PCNL 118 : some times the anatomy is mixed between favourable and unfavourable one. 1- The upper cx is complex one but the lower cx is not complex. 2- The calyces are short and wide infundibulum. 3- The pelvis is wide. @PCNL #PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS

PCNL 119 : Favourable anatomy - wide and very short infundibulum. the lower cx and the middle calyx seems to no infundibulum and the papillae opened directly on the renal pelvis. #PCNL @PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency

PCNL 120 : at the end of the manoeuvre in PCNL for multiple stone or stag horn stone. Is the shadow seen under fluoroscopy is a stone or retained dye. The dye shadow is washed out by the nephroscopic wash but if it is a stone the shadow will not disappear. #PCNL @PCNL UroToday.com

PCNL 121: at the end of the manoeuvre in PCNL for multiple stone or stag horn stone. Is the shadow seen under fluoroscopy is a stone or retained dye. - The dye shadow is washed out by the nephroscopic wash but if it is a stone the shadow will not disappear (previous twitter PCNL

PCNL 122 : we found in cases with previous SWL more than 2 sessions (3 up to 6 sessions) of long period ago (more than 5 years up to 10 years)..... narrow neck calyces ????? - for sure not all cases but it is seen in large number of cases. #PCNL @PCNL UroToday.com Urology News

PCNL 123 : the puncture site 1- should not be outside the posterior axillary line to avoid the colon 2- and should be oblique to make a tract. ..... in hydronephrotic kidney to avoid being beyond the posterior axillary line the puncture should be perpendicular to the cx. @PCNL

PCNL 124 : some times in cases of renal pelvic stones for long period we found lesions in the renal pelvis (not in the calyces) due to chronic mucosal irritation these lesions are similar to cystitis or ureteritis cystica that results from chronic mucosal irritation. @PCNL #PCNL

PCNL 125 : The PCS anatomy is variable - here unfavourable PCS for PCNL - long and narrow infundibulum. #PCNL @PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe UROLOGY CHEAT SHEETS YAU ENDOUROLOGY BAUS Endourology T&T Endourology

PCNL 126 : Pediatric PCNL (6 years old child) - kinked ureteric catheter 1- it should be inserted under fluoroscopy from the start. 2- donnot straighten it except after insertion of a guide wire to avoid locking of the U catheter. #PCNL UroToday.com Urology News PETRA

PCNL 127 : The PCS anatomy is variable - here unfavourable PCS for PCNL - 1- Small pelvis 2- Narrow infundibulum #PCNL @PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe UROLOGY CHEAT SHEETS YAU ENDOUROLOGY BAUS Endourology T&T Endourology

Single use FURS - loss of deflection even with good vision means loss of the ureteroscope.

PCNL 128 : The PCS anatomy is variable - here unfavourable PCS for PCNL 1- Long upper calyceal infundibulum. 2- Multiple, small lower calyces with narrow infundibulum. #PCNL @PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe

PCNL 129 : Morbid obese patient means very long tract. 1- Use extralong Amplats sheath and extralong nephoscope. 2- if the Amplats sheath is about to be lost inside the patient .... we can take a stitch on its edge (as demonstrated in this video). @PCNL #PCNL UroToday.com Urology News

FANS - FURS 2 : FANS carries many advantages in renal stone management. Air bubbles were a problem to get away from it with RIRS ..... air bubble aspiration in this video. #FANS #FURS #RIRS UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency

PCNL 130 : Long standing stone causing leukoplakia raising the question about conservative ttt in renal stones. #PCNL @PCNL UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe UROLOGY CHEAT SHEETS YAU ENDOUROLOGY BAUS Endourology T&T Endourology

FANS - FURS 3 : FANS insertion should be done with cautious ..... upper calyceal trauma and although it is just superficial mucosal trauma but with suction it can bleed. #FANS #FURS UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe

FANS - FURS 4 : the distal part of the FANS should be withdrawn to not hinder the manoeuvrability of the FURS inside the kidney. #FANS #FURS UroToday.com Urology News PETRA European Section of Urolithiasis - EULIS European Association of Urology (EAU) Endourological Society UroResidency UroSoMe UROLOGY CHEAT SHEETS YAU ENDOUROLOGY BAUS Endourology

PCNL 131 : Long standing stone in 65 aged male patient resulted in suspicious growth that with biopsy shown to be undifferentiated carcinoma. it is a rare situation that i had seen once through my 25 years career in PCNL however this is again raising the question about