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


Home Education Educational Calendar Practical PCNL From Access to Exit

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


The Practical PCNL: From Access to Exit - A Hands-on Course is geared for the practicing Urologist who wants to gain comfort with performing percutaneous stone removal, obtaining his/her own percutaneous access using both fluoroscopy and ultrasound, and familiarity with current instrumentation including flexible ureteroscopy.  

Maximum of 11.75 AMA PRA Category 1 Credits

Live Course

WWAMI Institute for Simulation in Healthcare (WISH)
Seattle, WA
November 10 – 11, 2018

Course Locations

November 10 – 11, 2018
WWAMI Institute for Simulation in Healthcare (WISH) at Harborview Medical Center
Seattle, WA

Course Directors

Robert Sweet, MD, FACS
Executive Director, WISH and CREST
Medical Director, Kidney Stone Clinic
Professor, Urology
University of Washington

Target Audience

This is a one-and-a-half day hands-on program designed for urologists and residents.

Course Description

Learning Objectives

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

  • Obtain percutaneous access to the kidney using both fluoroscopy and sonography.
  • Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy). 
  • Demonstrate the optimal methods for post-operative drainage and management of the percutaneous tract.
  • Recognize and manage complications of PCNL.
  • Perform and review ultrasound imaging.
  • Apply knowledge gained in this course to develop a practice which is comfortable in offering PCNL to its patients as an integral surgical procedure in the treatment of stone disease.
  • Gain familiarity with flexible ureteroscopy and instrumentation, and learn how to utilize it in combination with PCNL to enhance access and stone treatment success.

Scientific Program Schedule

Saturday, November 10, 2018

6:30 a.m. – 7:20 a.m.Registration & Continental Breakfast
7:20 a.m. – 7:30 a.m.Welcome/Course Format
7:30 a.m. – 8:00 a.m.Fundamentals of Renal Ultrasound
8:00 a.m. – 8:20 a.m.Fundamentals of Fluoroscopy/Radiation Safety
8:20 a.m. – 8:40 a.m.Case Selection (STONE Morphometry) Selection of Access Site
8:40 a.m. – 8:50 a.m.Positioning for PCNL
8:50 a.m. – 9:10 a.m.Fluoroscopy-guided Percutaneous Access: "Bull's Eye" 
9:10 a.m. – 9:25 a.m.Endoscopically-guided Percutaneous Access with Fluoroscopy 
9:25 a.m. – 9:45 a.m.Ultrasound-guided Percutaneous Access and Complications
9:45 a.m. – 10:00 a.m.Break
10:00 a.m. – 10:20 a.m.Dilation of Tract and Complications
10:20 a.m. - 10:40 a.m.Stone Removal and Lithotripsy - Pneumatic, Ultrasound, Laser
10:40 a.m. - 11:00 a.m.Flexible Nephroscopy and Flexible Ureteroscopy in PCNL: Access Sheaths and Other Tips
11:00 a.m. – 11:40 a.m.

Surgical Cases - Video
PCNL - Ultrasound-guided Access
PCNL - Endoscopic-assisted Entry

11:45 a.m. – 12:30 p.m.Lunch

Surgical Skills Lab

12:45 p.m. – 1:30 p.m.Surgical Skills Stations
Station 1: Percutaneous Access with Fluoroscopy
Station 2: Ease
Station 3: Renal Ultrasound on Real People
Station 4: Ultrasound-guided Access
Station 5: Flexible Nephroscopy, Rigid Nephroscopy and NLM Models and Instrumentation (Includes Advanced Basketing Techniques)

Sunday, November 12, 2018

8:00 a.m. – 8:30 a.m.Breakfast
8:30 a.m. - 9:00 a.m.Exit Strategies: Tubes vs. Tubeless Debate
9:00 a.m. - 9:20 a.m.Medical Management of Kidney Stones
9:20 a.m. – 9:40 a.m.Review of AUA Guidelines for Medical and Surgical Management of Urolithiasis
9:40 a.m. - 10:50 a.m.Difficult Cases: Panel Discussion/Q&A Session and Difficult Access: Tricks and Tips
10:50 a.m. – 11:10 a.m.Break
11:10 a.m. – 11:30 a.m.Complications and How to Prevent Them for PCNL
11:30 a.m. – 11:50 a.m.Billing and Coding
11:50 a.m. – 12:00 p.m.Pediatric Stones: Special Considerations
12:00 p.m. – 12:20 p.m.Updates on Ultrasound Stone Research
12:20 p.m.- 12:30 p.m.Evaluations
12:30 p.m.Course Adjourns

Course Registration Fees

 Early Bird On or Before September 28, 2018Standard On or After September 29, 2018
AUA Member$795$995

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.


This educational course is supported by independent educational grants from:

  • Bard Medical
  • Cook Medical
  • Richard Wolf Medical Instruments Corporation

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

The American Urological Association designates this live activity and enduring material for a maximum of 11.75 AMA PRA Category 1 Credits™. Physicians should only claim 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

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

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 attendee's image or voice in photographs and electronic reproductions of such meetings 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.