Concomitant percutaneous nephrolithotomy and transperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction complicated by stones.

Introduction: Ureteropelvic junction (UPJ) obstruction and stones can co exist. Therapeutic controversy exists regarding their ideal management. We present our experience of combining Percutaneous nephrolithotomy (PNL) with laparoscopic pyeloplasty (LP),in patients with UPJ obstruction with multiple secondary, in the same session or staged manner.

The management of renal matrix calculi: a single-centre experience over 5 years.

Objective: To define incidence of renal matrix calculi in patients undergoing percutaneous nephrolithotomy (PCNL), and describe its clinical, laboratory and radiological features; we also studied the efficacy of PCNL in managing this rare entity.

Patients And Methods: We retrospectively reviewed the records of 1368 PCNLs performed from April 2003 to March 2008, and identified 17 patients (mean age 44.3 years; 11 women and six men) having matrix calculi.

Influence of prostate size on the outcome of holmium laser enucleation of the prostate.

Objective: To analyse the effect of prostate size on the outcome of holmium laser enucleation of prostate (HoLEP, an established procedure for treating symptomatic benign prostatic hypertrophy, BPH), in the initial 354 patients at 1 year of follow-up.

Patients And Methods: We retrospectively reviewed the records of 354 patients who had HoLEP at our institution from April 2003 to March 2007. In 235 patients the prostate weighed <60 g (group 1), in 77 it weighed 60-100 g (group 2) and in 42 >100 g (group 3).

Bilateral single-session percutaneous nephrolithotomy: a feasible and safe treatment.

Background And Purpose: The treatment of bilateral urinary calculus disease is often staged, irrespective of the modality of the treatment. Bilateral simultaneous percutaneous nephrolithotomy (PCNL) is still considered by many to be adventurous and risky. We carried out this prospective study of bilateral PCNL under a single anesthesia to study the feasibility, success rate, and complications if any.