{"title":"地区医院双侧同步经皮肾镜取石术一例。","authors":"Mohamad Rheza Firmansyah, Andhika Hernawan Novianda, Widi Atmoko, Octoveryal Aslim","doi":"10.1016/j.eucr.2025.103152","DOIUrl":null,"url":null,"abstract":"<p><p>Kidney stones are the most common urological condition worldwide, with rising prevalence. Bilateral cases present challenges such as longer surgery, anesthesia risks, and extended hospitalization. We report a case of a 59-year-old female with bilateral hydronephrosis and multiple stones, successfully treated with bilateral synchronous percutaneous nephrolithotomy (PCNL) at a district-level hospital in Surakarta, Indonesia. Using existing nephrostomy access and meticulous planning, the procedure minimized operative time and blood loss. Full stone clearance was achieved without complications, and renal function remained stable. Bilateral synchronous PCNL is a cost-effective, efficient option in selected patients, requiring advanced surgical expertise and well-coordinated care.</p>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"62 ","pages":"103152"},"PeriodicalIF":0.4000,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356340/pdf/","citationCount":"0","resultStr":"{\"title\":\"Bilateral synchronous percutaneous nephrolithotomy in single session: A case from a district hospital.\",\"authors\":\"Mohamad Rheza Firmansyah, Andhika Hernawan Novianda, Widi Atmoko, Octoveryal Aslim\",\"doi\":\"10.1016/j.eucr.2025.103152\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Kidney stones are the most common urological condition worldwide, with rising prevalence. Bilateral cases present challenges such as longer surgery, anesthesia risks, and extended hospitalization. We report a case of a 59-year-old female with bilateral hydronephrosis and multiple stones, successfully treated with bilateral synchronous percutaneous nephrolithotomy (PCNL) at a district-level hospital in Surakarta, Indonesia. Using existing nephrostomy access and meticulous planning, the procedure minimized operative time and blood loss. Full stone clearance was achieved without complications, and renal function remained stable. Bilateral synchronous PCNL is a cost-effective, efficient option in selected patients, requiring advanced surgical expertise and well-coordinated care.</p>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"62 \",\"pages\":\"103152\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356340/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.eucr.2025.103152\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.eucr.2025.103152","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Bilateral synchronous percutaneous nephrolithotomy in single session: A case from a district hospital.
Kidney stones are the most common urological condition worldwide, with rising prevalence. Bilateral cases present challenges such as longer surgery, anesthesia risks, and extended hospitalization. We report a case of a 59-year-old female with bilateral hydronephrosis and multiple stones, successfully treated with bilateral synchronous percutaneous nephrolithotomy (PCNL) at a district-level hospital in Surakarta, Indonesia. Using existing nephrostomy access and meticulous planning, the procedure minimized operative time and blood loss. Full stone clearance was achieved without complications, and renal function remained stable. Bilateral synchronous PCNL is a cost-effective, efficient option in selected patients, requiring advanced surgical expertise and well-coordinated care.
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