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Do elevated intrarenal pressures during mini percutaneous nephrolithotomy increase postoperative pain??
Urolithiasis
September 2025
Department of Urology, Icahn School of Medicine at Mount Sinai, 424 W. 59th Street, Suite 4F, New York, 10019, United States.
Introduction: High intrarenal pressures (IRP) during mini-PCNL have been postulated to result in increased postoperative pain but no studies have evaluated this to our knowledge. We sought to determine if there is a correlation between IRP and immediate postoperative pain when using different tract sizes.
Methods: Patients were enrolled and assigned for standard (s-PCNL, 24fr), suctioning-mini (sm-PCNL, 16fr) and non-suctioning-mini (nsm-PCNL, 17.
Acute kidney injury as a predictor of infectious complications after mini-PCNL.
BJUI Compass
September 2025
Department of Urology and Renal Transplantation, Policlinico Riuniti di Foggia University of Foggia Foggia Italy.
Objective: To investigate the incidence, risk factors and clinical consequences of acute kidney injury (AKI) following mini-percutaneous nephrolithotomy (mini-PCNL), with particular focus on its association with postoperative infectious complications.
Materials And Methods: A retrospective analysis was conducted on 496 adult patients who underwent mini-PCNL (22 Ch) between February 2020 and April 2025. AKI was defined according to KDIGO criteria as either a ≥ 1.
Re: Guohua Zeng, Kehua Jiang, Shusheng Liu, et al. Flexible Ureteroscopy with a Flexible and Navigable Suction Ureteral Access Sheath Versus Mini-Percutaneous Nephrolithotomy for Treatment of 2-3 cm Renal Stones: An International, Multicenter, Randomized, Noninferiority Trial. Eur Urol. In press. https://doi.org/10.1016/j.eururo.2025.06.001.
Eur Urol
September 2025
Department of Urology, Second Affiliated Hospital of Kunming Medical University, Kunming, China. Electronic address:
Mini-Percutaneous Nephrolithotomy Less Injurious to the Kidney?
J Endourol
September 2025
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Percutaneous nephrolithotomy (PCNL) technique trends have shifted toward smaller caliber access sheaths, leading to a varied array of miniPCNL (mPCNL) systems. Urinary biomarkers have been validated as noninvasive direct markers of renal cellular injury. Our objective was to assess changes in biomarkers levels in the perioperative setting, comparing mPCNL suction (s-mPCNL), non-suction (ns-mPCNL), and standard PCNL (sPCNL) systems.
View Article and Find Full Text PDFUltrasound-Only-Guided Fluoroscopy-Guided Mini-Percutaneous Nephrolithotomy in Children: A Randomized Comparative Trial.
J Endourol
September 2025
Assiut University Urology Hospital, Faculty of Medicine, Assiut University, Asyut, Egypt.
Avoidance of ionizing radiation during management of pediatric urolithiasis is imperative. Objectives are to evaluate feasibility of ultrasound-only-guided mini-percutaneous nephrolithotomy (PNL) in children and to compare it with fluoroscopic guidance. Randomized comparative trial (NCT03250559) including 60 renal units with stones >1 cm in 57 children ≤14 years.
View Article and Find Full Text PDF