monthly focus

surgical intervention video

This is the case of a 60-year-old man with a large left kidney stone (>3cm) taking up the entire renal pelvis and lower calyceal cavities. Under general anesthesia, the patient is placed in a supine modified lithotomy position, with a 3L water bag underneath the left lumbar fossa to raise it. The left leg is straight whereas the right leg is put on a leg brace flexed. 

A cystoscopy is performed in order to identify the left ureteral orifice and introduce a 7 French beveled ureteral stent. This stent is connected to a Foley catheter. A contrast agent is injected into the ureteral stent. 

The kidney’s lower pole is punctured with an 18 Gauge hypodermic needle, making sure to stay in contact with the stone. A rigid Lunderquist® guidewire is passed into the needle. The pathway is dilated using metallic coaxial dilators and with a dilation balloon until an Amplatz® renal sheath is placed. The sheath will then be extended. 

A nephroscopy is performed to identify the stone, fragment and aspirate it partially with the LithoClast Master® intracorporeal lithotripter. Some large fragments will be withdrawn with crocodile forceps. The lithotripter system fails to remove the residual stone. A Malecot®-type nephrostomy tube is used and the ureteral stent is replaced by means of a double J catheter. 

Percutaneous nephrolithotomy

Nephrolithotomie percutanée

Nefrolitotomía percutánea


Nefrolitotomia percutânea


经皮肾镜取石术


Чрескожная нефролитотомия

video lecture

Néphrolithotomie percutanée (NLPC) : matériels et technique

Чрескожная нефролитотомия (PCNL): инструменты и техника выполнения

In this key lecture, Dr. Saussine focuses on the materials and technique related to percutaneous nephrolithotomy (PCNL).

Percutaneous nephrolithotomy (PCNL) materials and technique

Защита от радиации

Protection contre les radiations

In this key lecture, Dr. Saussine focuses on radiation protection.

Radiation protection

In this key lecture, Dr. Saussine focuses on the indications, results, and complications related to percutaneous nephrolithotomy (PCNL).

Percutaneous nephrolithotomy (PCNL): indications, results, complications

Чрескожная нефролитотомия (PCNL): показания, результаты, осложнения

Néphrolithotomie percutanée (NLPC) : indications, résultats, complications

International recommendations on urolithiasis

Международные рекомендации по лечению уролитиаза

In this key lecture, Dr. Doizi provides international recommendations on urolithiasis.

Urolithiase : recommandations internationales

Мочеточниковая проводниковая трубка (UAS)

Gaines d'accès urétérales (GAU)

In this key lecture, Dr. Doizi focuses on the ureteral access sheath (UAS).

Ureteral Access Sheath (UAS)

Ретроградная внутрипочечная хирургия (RIRS): последнее слово науки

In this key lecture, Dr. Traxer provides a state-of-the-art presentation on retrograde intrarenal surgery (RIRS) laying emphasis on how he does it, giving tips and tricks.

Retrograde intrarenal surgery (RIRS) state-of-the-art: how I do it and tips and tricks

Chirurgie intra-rénale rétrograde (CIRR), état de l’art : méthodologie et recommandations

Эндоурология и обструкция лоханочно-мочеточникового сегмента (UPJO) - клинические случаи 

Endo-urologie et occlusion de la jonction pyélo-urétérale - Cas cliniques

In this key lecture, Dr. Traxer focuses on endourology and ureteropelvic junction obstruction (UPJO), with a presentation of clinical cases. 

Endourology and ureteropelvic junction obstruction (UPJO) - Clinical cases

This video presents the treatment for kidney stones generally used in patients with large or irregularly shaped kidney stones, people with infections, stones that have not been broken up enough by SWL (extracorporeal shock wave lithotripsy) or those who are not candidates for ureteroscopy, another common stone treatment.

Percutaneous nephrolithotomy (PCNL) for urolithiasis

Néphrolithotomie percutanée (NLPC) pour urolithiase

Чрескожная нефролитотомия (PCNL) по поводу уролитиаза

Urétéroscopie souple et lithotritie laser pour calculs multiples bilatéraux intra-rénaux

The management of urinary stones is a major issue for most urologists. Flexible ureteroscopy (URS) stands for a suitable treatment modality for renal calculi, as demonstrated in this video by Professor Olivier Traxer. This video highlights flexible ureteroscopy and laser lithotripsy for multiple bilateral intrarenal stones.

Focus on endo-urology