ArticleAdvances in urology2016
Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy.
Article in Advances in urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Radiation exposure of urologists during endourological procedures: a systematic review.World journal of urology · 2024Pooled it
- Radiation exposure of patients during endourological procedures.World journal of urology · 2024Pooled it
- Ultrasound versus fluoroscopy as imaging guidance for percutaneous nephrolithotomy: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Robot-assisted ultrasound-guided PCNL: initial experience in 10 consecutive cases.BJU international · 2026Article
- Pure Ultrasound with Two-Step Dilation vs. Combined Ultrasound-Fluoroscopy in Percutaneous Nephrolithotomy: Is Fluoroscopy Still Needed?Urology research & practice · 2026Article
- Fluoroscopy-free mini-PCNL using CT-ultrasound fusion guidance in a pediatric patient with recurrent cystine stones: A case report.Urology case reports · 2026Article
- Imaging during pediatric stone management and follow up.World journal of urology · 2025Review
- [Totally ultrasound guided percutaneous nephrolithotomy: An efficient and safe technique].Revista medica del Instituto Mexicano del Seguro Social · 2025Article
- A Rare Cause of Colon Perforation After Percutaneous Nephrolithotomy-A Case Report and Review of the Literature.Case reports in surgery · 2024Article
- Endoscopic dilation using two guidewires: a novel approach for establishing access tract during percutaneous nephrolithotomy under ultrasonographic guidance.The Journal of international medical research · 2023Article
- Ultrasound-Guided PCNL - Why Are We Still Performing Exclusively Fluoroscopic Access?Current urology reports · 2023Review
- Ultrasound-Only Percutaneous Nephrolithotomy Is Safe and Effective Compared to Fluoroscopy-Directed Percutaneous Nephrolithotomy.Journal of endourology · 2023Article
- Correlation analysis between renal anatomical factors and residual stones after an ultrasound-guided PCNL.Frontiers in surgery · 2023Article
- Low-dose fluoroscopy technique drastically decreases patient radiation exposure during percutaneous nephrolithotomy.Urolithiasis · 2022Article
- Percutaneous nephrostomy for nondilated renal collecting system with ultrasound and fluoroscopic guidance: The results of a 10-year experience.Diagnostic and interventional radiology (Ankara, Turkey) · 2022Article
- Can ultrasound guidance reduce radiation exposure significantly in percutaneous nephrolithotomy in pediatric patients?Urolithiasis · 2021Observational
- Efficacy and safety of modified tract dilation technique using simultaneous pulling of proximal and distal ends of a guidewire for percutaneous nephrolithotomy in modified supine position.Investigative and clinical urology · 2021Article
- Fluoroless Endourological Surgery for Stone Disease: a Review of the Literature-Tips and Tricks.Current urology reports · 2020Review
- Percutaneous kidney stone surgery and radiation exposure: A review.Asian journal of urology · 2020Review
- Prone percutaneous nephrolithotomy: its advantages and our technique for puncture.Translational andrology and urology · 2018Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
Purposes. To present our series of 38 prone percutaneous nephrolithotomy procedures performed with renal access and tract dilation purely under ultrasound guidance and describe the benefits and challenges accompanying this approach. Methods. Thirty-eight consecutive patients presenting for percutaneous nephrolithotomy for renal stone removal were included in this prospective cohort study. Ultrasonographic imaging in the prone position was used to obtain percutaneous renal access and guide tract dilation. Fluoroscopic screening was used only for nephrostomy tube placement. Preoperative, intraoperative, and postoperative procedural and patient data were collected for analysis. Results. Mean age of patients was 52.7 ± 17.2 years. Forty-five percent of patients were male with mean BMI of 26.1 ± 7.3 and mean stone size of 27.2 ± 17.6 millimeters. Renal puncture was performed successfully with ultrasonographic guidance in all cases with mean puncture time of 135.4 ± 132.5 seconds. Mean dilation time was 11.5 ± 3.8 min and mean stone fragmentation time was 37.5 ± 29.0 min. Mean total operative time was 129.3 ± 41.1. No patients experienced any significant immediate postoperative complication. All patients were rendered stone-free and no additional secondary procedures were required. Conclusions. Ultrasound guidance for renal access and tract dilation in prone percutaneous nephrolithotomy is a feasible and effective technique. It can be performed safely with significantly reduced fluoroscopic radiation exposure to the patient, surgeon, and intraoperative personnel.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.