Evolution of Percutaneous Renal Access
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Introduction: Nephrostomy insertion is a vital part of modern-day urology used to manage obstructed
renal tract or gain percutaneous renal access.
Method: We carried out a PubMed literature search on the history of the development of nephrostomies. Results: The first percutaneous nephrostomy was performed in 1864 on a child who died in 5 years. Nephroscopy was then described and performed in 1941 during an open surgery with subsequent advancement to percutaneous nephrolithotomy in 1976 and antegrade stent insertion in 1978.
Conclusion: Clinical need and innovation have led to percutaneous renal access and subsequent stone treatment modality.
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 Rupel, E., Brown, R., 1941. Nephroscopy with the removal of stone following nephrostomy for obstructive calculous anuria. J. Urol. 46, 177–18; https://kundoc.com/pdf-nephroscopy-with-removal-of-stone-following-nephrostomy-for-obstructive-calculou.html
 Patel SR, Nakada SY, 2015. The modern history and evolution of percutaneous nephrolithotomy. J. Endourology 29 (2), 153-7, doi: 10.1089/end.2014.0287. Epub 2014 Sep 17.
 Goodwin, W.E., Casey, W.C., Woolf, W., 1955. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J. Am. Med. Assoc. 157 (11), 891–894
 Fernstrom, I., Johansson, B., 1976. Percutaneous pyelolithotomy. A new extraction technique. Scand. J. Urol. Nephrol. 10, 257–259
 The Canadian Journal of Urology; 18(5); October 2011
 Cook medical website: https://www.cookmedical.com/urology/early-courses-helped-shape-endourology/
 Dragos et al., 2016, pages 1-2. Percutaneous Surgery of Upper Urinary Tract, Handbook of Endourology. https://doi.org/10.1016/B978-0-12-802404-1.00001-3
 Preminger, G.M., Assimos, D.G., Lingeman, J.E., Nakada, S.Y., Pearle, M.S., Wolf, Jr., J.S., 2005. Chapter 1 AUA guidelines on the management of staghorn calculi: diagnosis and treatment recommendations. J. Urol. 173 (6), 1991–2000