Supine percutaneous nephrolithotomy in a 9-month infant.

Treatment of nephrolithiasis in infants is challenging. There are no separate guidelines for the management of renal stones in infants. There is a recent surge in doing PCNL in supine position.

Bilateral simultaneous RIRS for calculus anuria in a 4 months male baby.

Treatment of pediatric stone disease is a challenge, more so, in the case of infants. Infantile anuria due to calculus disease is rare, as pre-renal causes predominate. Retrograde intrarenal surgery is a less often sorted modality in infants, due to the lingering skepticism regarding handling pediatric ureters and urethra.