Effectiveness of US-Guided PCNL Different Positions in Renal Stones Treatment

A Retrospective Single Centered Cohort Study Comparing The Effectiveness of Ultrasound-Guided PCNL Different Positions in Renal Stones Treatment

The aim of this study is to compare the effectiveness of Ultrasound-Guided Percutaneous nephrolithotomyin different positions supine, prone positions and flank suspend supine position in renal stones treatment.

Percutaneous nephrolithotomy (PCNL) has become the choice of modality for the treatment of large and complicated renal calculi. Initially, percutaneous access to the kidney was only performed in the prone position, as described sixty years ago.

Inclusion Criteria:

• patients who underwent Percutaneous nephrolithotomy
• Patient's age from >18 - 70 years old.
• Body mass index (30-40 kg/m2).
• Both sex
• Renal stones diameter ≥2 cm
• Cardiac patients

Exclusion Criteria:

• Patient refusal.
• Pregnant women.
• Patients with renal anomalies.
• Transplanted kidney.
• Uncorrected coagulopathy, or active infection.