American Urological Association - Practical PCNL: From Access to Exit - A Hands-On Course


Home Education AUAUniversity Live Events Educational Calendar Practical PCNL From Access to Exit

Practical PCNL: From Access to Exit - A Hands-On Course


Maximum of 13.00 AMA PRA Category 1 Credits

Directed by Ralph V. Clayman, MD and Jaime Landman, MD, this newly enhanced course will feature a combination of didactic lectures, surgical video cases, panel discussions, Q & A sessions, an interactive review using audience response and hands-on surgical skill stations that allow each participant to perform percutaneous stone removal from start to finish on human cadavers for more accurate training.

Live Course

UC Irvine Medical Center
Orange, CA
February 24 – 25, 2018

Didactic Session Only

UC Irvine Medical Center
Orange, CA
February 24 – 25, 2018

Due to increased demand we have increased the capacity of the didactic sessions ONLY. You will not be permitted to participate in the hands-on sessions on Saturday afternoon, but you can attend all lectures and case discussions on Saturday and Sunday mornings. Meals are included as stated on the agenda. Please see the Scientific Program Schedule drop down below for more details. The American Urological Association designates this live activity for a maximum of 9.00 AMA PRA Category 1 Credits™.

Course Locations

February 24 – 25, 2018
UC Irvine Medical Center
Orange, CA

Course Directors

Ralph V. Clayman, MD
Professor of Urology and Dean Emeritus
University of California, Irvine

Jaime Landman, MD
Professor of Urology and Chairman
University of California, Irvine

Target Audience

This two day course with didactic and hands-on sessions is designed for urologists and residents.

Course Description

Course Purpose

Because of the relative paucity of PCNL cases in training programs which are not high-volume centers, many residents do not gain enough practical experience to feel comfortable with obtaining percutaneous access and performing PCNL. Concerns over morbidity of the operation due to a lack of familiarity and ability to troubleshoot challenges or complications may lead surgeons to avoiding PCNL when it is the ideal surgical approach to a stone. Making the “rare” case into a “routine” one by enabling hands-on experience in all phases of the surgery will address the gap in practice, allowing more urologists to offer PCNL to their patients.

Learning Objectives

Upon completion of this course, attendees will be able to:

  • Obtain percutaneous access to the kidney using fluoroscopy in combination with ureteroscopic and/or ultrasound guidance.
  • Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy).
  • Perform prone flexible cystoscopy.
  • Demonstrate the optimal methods for post-operative sealing or drainage of the percutaneous tract.
  • Utilize flexible ureteroscopy and instrumentation in combination with PCNL to enhance renal access and stone treatment success.
  • Routinely employ a ureteral access sheath during flexible ureteroscopy.
  • Perform and review ultrasound imaging.
  • Recognize and manage complications of PCNL.
  • Apply knowledge gained in this course to develop a practice in which PCNL becomes an integral surgical procedure in the treatment of stone disease.

Scientific Program Schedule

Saturday, February 24, 2018

6 – 7 a.m.Registration & Continental Breakfast
7 – 7:05 a.m.Welcome
7:05 – 7:15 a.m.Pre-test
7:15 – 7:35 a.m.Pre-procedural Planning and 3D CT Imaging
7:35 – 7:50 a.m.Renal Anatomy for Percutaneous Stone Removal
7:50 – 8:10 a.m.Patient Preparation: Prep, Drape, and Positioning (Prone, Supine, and Lateral)
8:10 – 8:30 a.m.Fundamentals of Fluoroscopy and Radiation Safety
8:30 – 8:50 a.m.Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Drift Down”
8:50 – 9:15 a.m.Fundamentals of Renal Ultrasound
9:15 – 9:30 a.m.Break
9:30 – 9:50 a.m.Ultrasound-guided Percutaneous Access
9:50 – 10 a.m.Endoscopic-guided Percutaneous Access: Prone Cystoscopy/Ureteral Access Sheat
10- 10:10 a.m.Inside Out Access: Endoscopic guided Lawson Rocket Wire
10:10 – 10:30 a.m.Dilation of the Nephrostomy Tract: Technique and Avoidance of Complications
10:30 – 10:45 a.m.Break
10:45 – 11:05 a.m.Lithotripsy: Pneumatic, Ultrasound and Laser
11:05 – 11:25 a.m.Flexible Nephroscopy: Tips and Tricks
11:25 – 11:45 a.m.Ending the Procedure: Tube and Tubeless Techniques
11:45 a.m. – 12:15 p.m.Better than Live: Putting it All Together (Video Session)
12:15 – 1 p.m.Lunch

Surgical Skills Lab

1 – 3 p.m.Group 1: Endoscopic/Fluoroscopic Cadaver PCNL: Start to Finish
1 – 3 p.m.Group 2 Surgical Skills Stations
1 – 1:30 p.m.Rotation 1
1:30 – 2 p.m.Rotation 2
2 – 2:30 p.m.Rotation 3
2:30 – 3 p.m.Rotation 4
3 – 3:15 p.m.Break
3:15 – 5:15 p.m.Group 2: Endoscopic/Fluoroscopic Cadaver PCNL: Start to Finish
3:15 – 5:15 p.m.Group 1 Surgical Skills Stations
3:15 – 3:40 p.m.Rotation 1
3:45 – 4:15 p.m.Rotation 2
4:15 – 4:40 p.m.Rotation 3
4:45 – 5:15 p.m.Rotation 4

Sunday, February 25, 2018

7 – 8 a.m.Breakfast
8 - 8:30 a.m.Challenges of PCNL: Tips and Tricks (Horseshoe Kidney, Calyceal Diverticulum, Pelvic Kidney, Spinal Abnormalities)
8:30 – 9 a.m.PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution
9 – 9:20 a.m.Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain
9:20 - 9:50 a.m.Medical Management of Kidney Stones: Stone: Trees
9:50 – 10:10 a.m.Break
10:10 – 10:30 a.m.Billing in the Age of ICD-10
10:30 – 11:10 a.m.Panel Session: PCNL Cases (Instructive and Problematic)
11:10 – 11:40 a.m.PCNL Start to Finish: Rapid Fire Review and Questions: What’s the Next Step
11:40 a.m. – 12 p.m.Post-test/Questions/Adjourn

Course Registration Fees

 Didactic Sessions Only
AUA Member$485

Cancellation Policy

Live Course: An administrative fee of 15% is assessed if registration is cancelled up to six weeks prior to the course. If registration is cancelled four to six weeks from the course, the cancellation fee is 50% of the registration fee paid. No registration fees will be refunded less than four weeks prior to the course.

AUA Education & Research reserves the right to cancel this course if a minimum enrollment is not reached before January 19, 2018. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by January 26, 2018.

Cancellations must be made in writing. Requests may be made via mail or fax to 410-689-3912. Questions? Call 1-800-908-9414 or email

Course Location/Hotel Information

The AUA recommends that you register for the course BEFORE making travel arrangements. Once the meeting capacity is reached, which may be prior to the early-bird date, the AUA is unable to guarantee a spot in the course.

Hotel Information

The AUA has negotiated a special rate at the following hotel, which is a short walking distance from the course:               

DoubleTree by Hilton Anaheim – Orange County
100 The City Drive
Orange, CA 91709
Phone: 1-714-634-4500
Fax: 1-714-978-3839

To hold a reservation, a major credit card number must be provided.

Room Rate: $179 single/double occupancy. Make your reservation online or call 1-800-HILTONS. Reference the AUA PCNL Course to receive the special group rate. Once the AUA group block is full, which may be prior to the cut-off date, the AUA is unable to guarantee rooms at this rate or at this hotel. 

Cut-off Date: Wednesday, January 24, 2018
Guest rooms may not be available at the AUA special rate after this date. 

4 p.m.

11 a.m.

Parking Information

Daily Self Parking: $15 per car per day
Daily Valet Parking: $20 per car per day
Prices are subject to change.

Car Rental

Hertz is pleased to offer special discounted car rental rates to AUA course and meeting attendees. Make your car rental reservation online or call 1-800-654-2240 and mention the AUA discount code CDP# 1953476.


Visit Destination Irvine to find the very best of what Irvine has to offer – its restaurants, events, entertainment, art and travel information for visitors to Irvine, CA.


Call 1-800-908-9414 or email

Patient Education Resources

To encourage and support the participant’s care of their patients, this activity will provide resources to Urology Care Foundation existing resources on PCNL. These resources will include patient videos and brochures.

Materials specifically mentioning PCNL:

Overall Kidney Health Series:

CME and Disclosure Information


The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation

Full Course: The American Urological Association designates this live activity and enduring material for a maximum of 13.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Didactic Only: The American Urological Association designates this enduring material for a maximum of 9.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Learners

The AUA is not accredited to offer credit to participants who are not MDs or DOs. However, the AUA will issue documentation of participation that states that the activity was certified for AMA PRA Category 1 Credit™.

Evidence Based Content

It is the policy of the AUA to ensure that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.

AUA Disclosure Policy

All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, authors) participating in an educational activity provided by the AUA are required to disclose to the provider any relevant financial relationships with any commercial interest. The AUA must determine if the individual's relationships may influence the educational content and resolve any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from participating, but rather to provide learners information with which they can make their own judgments.

Resolution of Identified Conflict of Interest

All disclosures will be reviewed by the program/course directors or editors for identification of conflicts of interest. Peer reviewers, working with the program directors and/or editors, will document the mechanism(s) for management and resolution of the conflict of interest and final approval of the activity will be documented prior to implementation. Any of the mechanisms below can/will be used to resolve conflict of interest:

  • Peer review for valid, evidence-based content of all materials associated with an educational activity by the course/program director, editor, and/or Education Content Review Committee or its subgroup.
  • Limit content to evidence with no recommendations
  • Introduction of a debate format with an unbiased moderator (point-counterpoint)
  • Inclusion of moderated panel discussion
  • Publication of a parallel or rebuttal article for an article that is felt to be biased
  • Limit equipment representatives to providing logistics and operation support only in procedural demonstrations
  • Divestiture of the relationship by faculty

Off-label or Unapproved Use of Drugs or Devices

It is the policy of the AUA to require the disclosure of all references to off-label or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.

Attendee Information and Policies


The opinions and recommendations expressed by faculty, authors and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the American Urological Association (AUA). 

Consent to Use of Photographic Images

Registration and attendance at or participation in AUA meetings and other activities constitutes an agreement by the registrant to AUA's use and distribution (both now and in the future) of the registrant or attendee's image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities.

Audio, Video, Photographic Equipment

The use of audio, video and other photographic recording equipment by attendees is prohibited inside AUA meeting rooms.

Reproduction Permission

Reproduction of written materials developed for this AUA course is prohibited without the written permission from individual authors and the AUA.

Special Assistance/Dietary Needs

The AUA complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, please see the registration desk.