Percutaneous endoscopic nephropexy with a percutaneous suture passed through the kidney.

Objectives: To report a technique of percutaneous endoscopic nephropexy, using a polyglactin suture passed through the kidney, in patients with nephroptosis.

Patients And Methods: Four women presenting with symptomatic right nephroptosis underwent a percutaneous endoscopic nephropexy. An upper-pole calyx was accessed percutaneously and a 24-F working sheath was placed.

The split-leg modified lateral position for percutaneous renal surgery and optimal retrograde access to the upper urinary tract.

Objectives: To present our experience with percutaneous nephrolithotomy (PCNL) in the split-leg modified lateral position.

Material And Method: The patient is placed with the thorax in the lateral position and the pelvis in an oblique position. Then the lower limbs are split and bent in the lowest position.