Indian Journal of Urology
REVIEW ARTICLE
Year
: 2019  |  Volume : 35  |  Issue : 4  |  Page : 259--266

Techniques for fluoroscopy-guided percutaneous renal access: An analytical review


Gyanendra Ravindra Sharma1, Bhojraj Luitel2 
1 Chitale Clinic Private Limited, Solapur, Maharashtra, India
2 Department of Urology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Correspondence Address:
Gyanendra Ravindra Sharma
Chitale Clinic Private Limited, Solapur, Maharashtra
India

Percutaneous renal access is a key step for a successful percutaneous nephrolithotomy. It involves the use of fluoroscopy, ultrasonography, or a combination of both. Over the years, various techniques have been proposed for fluoroscopy-guided access, and this article reviews the different techniques along with the anatomical principles for fluoroscopy-guided percutaneous renal access. A literature search was performed using “PubMed” for relevant literature describing the various techniques for fluoroscopy-guided percutaneous renal access. Each technique was analyzed in regard to how it describes selecting the skin site for puncture and determines the angle and depth of puncture. The advantages, limitations, and variations of these techniques were also studied. Each technique has its advantages and limitations. No study has compared all the techniques either in vivo or in vitro. Only a comparative study would establish the superiority of one technique over the other. Until this is done, endourologists should be well versed with the existing techniques.


How to cite this article:
Sharma GR, Luitel B. Techniques for fluoroscopy-guided percutaneous renal access: An analytical review.Indian J Urol 2019;35:259-266


How to cite this URL:
Sharma GR, Luitel B. Techniques for fluoroscopy-guided percutaneous renal access: An analytical review. Indian J Urol [serial online] 2019 [cited 2019 Oct 22 ];35:259-266
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2019;volume=35;issue=4;spage=259;epage=266;aulast=Sharma;type=0