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Dr. Tim Averch will discuss ways to reduce complications and improve success for performing PCNL.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve management of patients with large kidney stones by implementing strategies for appropriate surgical intervention
  • Improve patient outcomes by implementing basic and complex techniques of percutaneous nephrolithomy
  • Closely follow recommended processes and procedures of percutaneous nephrolithotomy to achieve stone clearance and avoid complications

Reading Resources:

  1. De la Rosette J, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R, Tefekli A; CROES PCNL Study Group.The Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study: indications, complications, and outcomes in 5803 patients.J Endourol. 2011 Jan;25(1):11-7.
  2. Shahrour K, Tomaszewski J, Ortiz T, Scott E, Sternberg KM, Jackman SV, Averch TD.Predictors of immediate postoperative outcome of single-tract percutaneous nephrolithotomy.Urology. 2012 Jul;80(1):19-25.
  3. Yuan H, Zheng S, Liu L, Han P, Wang J, Wei Q.The efficacy and safety of tubeless  percutaneous nephrolithotomy: a systematic review and meta-analysis.Urol Res. 2011 Oct;39(5):401-10.


Dr. Averch has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Bard Medical, Cook Urologic

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to 0.75 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 2/19/2013 | Last Modified On: 2/19/2013 | Expires: 2/19/2014

This course has been expired.