Urology
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Case Reports Clinical Trial
A modification of standard percutaneous nephrolithotripsy technique for the morbidly obese patient.
Urolithiasis in the morbidly obese patient presents several unique challenges to the urologist, and its treatment often requires creativity and innovation. We present a new modification of standard percutaneous nephrolithotripsy (PNL) technique, which is very helpful in overcoming some of the problems that are encountered when performing PNL in this group of patients. ⋯ For this very challenging group of patients, the use of larger and longer access sheaths and the gynecologic laparoscope have been very effective additions to the urologists' armamentarium in the treatment of urolithiasis.