The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney

Percutaneous Nephrolithotomy (PCNL) is a common endourologic procedure done for removal of renal stones. The most important initial step involves making a safe puncture into the pelvicalyceal system, and establishing an access tract into pelvicalyceal system. This is a crucial step in the success of...

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Main Authors: Suresh Bhat, Yateesh Srinivasa, Fredrick Paul, Ashwin Giridhar, Manjunath Sathyanarayana
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:http://jcdr.net/articles/PDF/10731/25664_CE(Ra1)_F(SS)_PF1(AG_TG_AP)_PFA(PG_AP).pdf
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spelling doaj-8508c1ece31441649b239886367d0c452020-11-24T20:58:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research0973-709X2249-782X2017-10-011110PR01PR0210.7860/JCDR/2017/25664.10731The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic KidneySuresh Bhat0Yateesh Srinivasa1Fredrick Paul2Ashwin Giridhar3Manjunath Sathyanarayana4Professor, Department of Urology, Government Medical College, Kottayam, Kerala, India.Senior Resident, Department of Urology, Government Medical College, Kottayam, Kerala, India.Associate Professor, Department of Urology, Government Medical College, Kottayam, Kerala, India.Senior Resident, Department of Urology, Government Medical College, Kottayam, Kerala, India.Senior Resident, Department of Urology, Government Medical College, Kottayam, Kerala, India.Percutaneous Nephrolithotomy (PCNL) is a common endourologic procedure done for removal of renal stones. The most important initial step involves making a safe puncture into the pelvicalyceal system, and establishing an access tract into pelvicalyceal system. This is a crucial step in the success of the PCNL. Though the procedure is relatively simple and straight forward, in conditions like hyper-mobile kidney or ptotic kidney, the pelvicalyceal system is abnormally oriented and the kidneys are excessively mobile making the puncture of pelvicalyceal system difficult. Till date there is no established technique to overcome this problem. The technique of resolving this problem involved placing an air filled urobag beneath the patient in the prone position on the ipsilateral side of abdomen. This technique of placing an inflated urobag called as “The inflated urobag” technique is a simple one, which relocates the kidney and hence the pelvicalyceal system to normal anatomical position, making the initial puncture easier. This also prevents excessive mobility of the kidney during puncture and dilatation of the tract. This technique, which is not described earlier, is extremely useful in the puncture and dilatation during prone PCNL in ptotic and hyper-mobile kidneys. We here in describe our experience in 15 cases of PCNL in ptotic or hypermobile kidney.http://jcdr.net/articles/PDF/10731/25664_CE(Ra1)_F(SS)_PF1(AG_TG_AP)_PFA(PG_AP).pdfHypermobile kidneyLithotripsyPercutaneous renal accessUrine collection bag
collection DOAJ
language English
format Article
sources DOAJ
author Suresh Bhat
Yateesh Srinivasa
Fredrick Paul
Ashwin Giridhar
Manjunath Sathyanarayana
spellingShingle Suresh Bhat
Yateesh Srinivasa
Fredrick Paul
Ashwin Giridhar
Manjunath Sathyanarayana
The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
Journal of Clinical and Diagnostic Research
Hypermobile kidney
Lithotripsy
Percutaneous renal access
Urine collection bag
author_facet Suresh Bhat
Yateesh Srinivasa
Fredrick Paul
Ashwin Giridhar
Manjunath Sathyanarayana
author_sort Suresh Bhat
title The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
title_short The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
title_full The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
title_fullStr The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
title_full_unstemmed The Inflated Urobag Technique for Accessing the Pelvicalyceal System during Prone Percutaneous Nephrolithotomy in a Ptotic Kidney
title_sort inflated urobag technique for accessing the pelvicalyceal system during prone percutaneous nephrolithotomy in a ptotic kidney
publisher JCDR Research and Publications Private Limited
series Journal of Clinical and Diagnostic Research
issn 0973-709X
2249-782X
publishDate 2017-10-01
description Percutaneous Nephrolithotomy (PCNL) is a common endourologic procedure done for removal of renal stones. The most important initial step involves making a safe puncture into the pelvicalyceal system, and establishing an access tract into pelvicalyceal system. This is a crucial step in the success of the PCNL. Though the procedure is relatively simple and straight forward, in conditions like hyper-mobile kidney or ptotic kidney, the pelvicalyceal system is abnormally oriented and the kidneys are excessively mobile making the puncture of pelvicalyceal system difficult. Till date there is no established technique to overcome this problem. The technique of resolving this problem involved placing an air filled urobag beneath the patient in the prone position on the ipsilateral side of abdomen. This technique of placing an inflated urobag called as “The inflated urobag” technique is a simple one, which relocates the kidney and hence the pelvicalyceal system to normal anatomical position, making the initial puncture easier. This also prevents excessive mobility of the kidney during puncture and dilatation of the tract. This technique, which is not described earlier, is extremely useful in the puncture and dilatation during prone PCNL in ptotic and hyper-mobile kidneys. We here in describe our experience in 15 cases of PCNL in ptotic or hypermobile kidney.
topic Hypermobile kidney
Lithotripsy
Percutaneous renal access
Urine collection bag
url http://jcdr.net/articles/PDF/10731/25664_CE(Ra1)_F(SS)_PF1(AG_TG_AP)_PFA(PG_AP).pdf
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