Factors Associated with a Higher Risk of Conversion from Radiation-Free Percutaneous Nephrolithotomy (PCNL) to Fluoroscopy-Guided Percutaneous Nephrolithotomy
Radiation-free PCNL is feasible and yields comparable outcomes to standard fluoroscopy-guided PCNL, offering a promising method to reduce radiation exposure without compromising surgical success. However, we identified a consistent theme of poor visualization that prompted conversion to fluoroscopy for some of the cases. Innovation directed toward improving tool echogenicity is key to diffusing this technique.
Authors
- Tyler Sheetz (ORCID: https://orcid.org/0000-0002-4440-1477)
- A. Gálvez
- Jake Roberts
- Luke Griffiths (ORCID: https://orcid.org/0000-0002-6305-7173)
- Joseph Girgiss
- Noah Swärd
- Martin Ugander
- Roger L. Sur
- Riley Hull
- Jonathan Katz
Institutions
- Karolinska University Hospital (SE)
- University of Miami (US)
- Royal North Shore Hospital (AU)
- UC San Diego Health System (US)
- Karolinska Institutet (SE)
- University of California San Diego (US)
- Villanova University (US)
Publication Details
- Journal
- Journal of Endourology
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1177/08927790251405794
- Primary Topic
- Kidney Stones and Urolithiasis Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00