Practical PCNL: From Access to Exit- A Hands-on Course- California (2019)

Orange, CA US
February 23, 2019 to February 24, 2019

Don't miss the only hands-on PCNL course of 2019 that includes a hands-on cadaver experience with one-on-one instruction with world renowned faculty!

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. Other features of the course:

  • NEW 2019 PCNL coding changes presented by Dr. Michael Ferragamo, leading coding consultant in the field
  • 1:2 faculty to attendee ratio for optimum learning experience
  • Additional lectures that will  also improve your ureteroscopic skills and enable you to perform the complete metabolic evaluation of your stone-forming patients
  • Combined experience of the faculty represents well over 100 years of PCNL experience- more than any other course


Practical PCNL: From Access to Exit- A Hands-on Course is supported by independent educational grants from:

  • Cook Medical
  • KARL STORZ Endoscopy-America, Inc.

  • Olympus Corporation of the Americas

Target Audience

  • Urologists
  • Residents

Learning Objectives

At the conclusion of the course, participants will be able to:

  1. Obtain percutaneous access to the kidney using fluoroscopy in combination with ureteroscopic and/or ultrasound guidance.
  2. Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy).
  3. Perform prone flexible cystoscopy.
  4. Demonstrate the optimal methods for post-operative sealing or drainage of the percutaneous tract.
  5. Utilize flexible ureteroscopy and instrumentation in combination with PCNL to enhance renal access and stone treatment success.
  6. Routinely employ a ureteral access sheath during flexible ureteroscopy.
  7. Perform and review ultrasound imaging.
  8. Recognize and manage complications of PCNL.
  9. Apply knowledge gained in this course to develop a practice in which PCNL becomes an integral surgical procedure in the treatment of stone disease.
Course summary
Available credit: 
  • 12.25 AMA PRA Category 1 Credit™
  • 12.25 Non-Physician Participation
Course opens: 
Course expires: 
Event starts: 
02/23/2019 - 7:00am EST
Event ends: 
02/24/2019 - 12:30pm EST

Saturday, February 23, 2019




6:30 – 7:10 AMRegistration and Breakfast
7:10-7:20 AM


Ralph V. Clayman, MD and Jaime Landman, MD

7:20 – 7:30 AM


Ralph V. Clayman, MD and Jaime Landman, MD

7:30 – 7:50 AM

Renal Anatomy for Percutaneous Stone Removal

 Duane D. Baldwin, M.D.

7:50 – 8:05 AM

Imaging the Stone: CT, 3D CT, and iVR for Pre-procedural PCNL Planning

Jaime Landman, M.D.

8:05 – 8:30 AM

Fluoroscopy: Fundamentals and Radiation Safety

Duane D. Baldwin, M.D.

8:30 – 8:50 AM

Ultrasonography: Fundamentals and Knobology

Rony Kampalath, M.D.

8:50 – 9:05 AM

To the OR: First Things First: Patient Preparation (Prone, Supine, and   Lateral)

Matthew D. Dunn, M.D.

9:05 – 9:25 AM Break
9:25 – 9:55 AM

Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Triangulation”

John Denstedt, M.D.

9:55 – 10:15 AM

Ultrasound-guided Percutaneous Access

Thomas Chi, M.D.

10:15 – 10:35 AM

Endoscopic-guided Percutaneous Access: Prone Cystoscopy/Ureteral Access Sheath

Robert Sweet, M.D.

10:35 – 10:50 AM

Dilation of the Nephrostomy Tract: Technique and Avoidance of Complications

Ramy Yaacoub, M.D.

10:50 – 11: 05 AMBreak
11:05 – 11:20 AM

Rigid Nephroscopy: Access, Choice of Endoscopes, MIP, and Accessories

Roger Sur, M.D.

11:20 – 11:35 AM

Percutaneous Access: Does Size Matter – Macro, Micro, Mini, UltraMini, Nano, Pico and Zero?

John Denstedt, M.D.

11:35 – 11:50 AM

Lithotripsy: Pneumatic, Ultrasound and Lasers

Roshan Patel, M.D.

11:50 - 12:10 PM

Billing in the Age of ICD-10

Michael A. Ferragamo, M.D., FACS

12:10 – 12: 25 PM

Ending the Procedure: Tube and Tubeless Techniques

Matthew D. Dunn, M.D.

12:25 – 1:00 PMLunch
1:15 –  5:30 PMSurgical Skills Stations

Sunday, February 24, 2019


8:00 – 8:30 AMBreakfast
8:30 – 9:10 AM

Stone Trees: Medical Management of Urolithiasis Made Simple

Ralph V. Clayman, M.D.

9:10 – 9:30 AM


Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain

 Roshan Patel, M.D.

9:30 – 9:50 AM


PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution

 John Denstedt, M.D.
9:50 – 10:10 AM

Flexible Nephroscopy: Tips and Tricks

Ralph V. Clayman, M.D.

10:10 – 10:30 AMBreak
10:30 – 11:15 AM

Panel Session: PCNL Cases (Instructive and Problematic) (Pelvic kidney, horseshoe kidney, challenging skeletal anatomy, and nightmares)

Moderator: Jaime Landman

Panel: John Denstedt, Thomas, Chi, MD; Duane D. Baldwin, MD; Roger Sur, MD; Roshan Patel, MD; Matthew D. Dunn, MD; and Ramy Yaacoub, MD
11:15 – 11:45 AM

PCNL Start to Finish: Rapid Fire Review and Questions: What’s the Next Step?

Ralph V. Clayman, M.D.

11:45 AM – 12:00 PM


Ralph V. Clayman, MD and Jaime Landman, MD

12:00 PMMeeting Adjourn



UC Irvine Medical Center
101 The City Drive South
Bldg. 54 5th Floor
Orange, CA 92868
United States
+1 (714) 634-7119

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.


Doubletree by Hilton Hotel Anaheim - Orange County

100 The City Drive
Orange, California 92868-3204
Tel: +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

Thursday, January 31, 2019. Guest rooms may not be available at the AUA special rate after this date.

Check-in: 4 p.m.

Check-out: 11 a.m.


Daily Self-Parking - $15 per car

Daily Valet Parking – $20 per car
Prices are subject to change.



Check out 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.


PDF icon Faculty Disclosure Report.pdf


PDF iconEducation Council Disclosures

Course Co-director(s)

Ralph Clayman, MD

has no relevant financial relationships to disclose at this time.

Jaime Landman, MD

has no relevant financial relationships to disclose at this time.

D Baldwin, MD

has no relevant financial relationships to disclose at this time.

Thomas Chi, MD,MBA

has no relevant financial relationships to disclose at this time.

John Denstedt, MD,FACS,FRCSC

has no relevant financial relationships to disclose at this time.

Matthew Dunn, MD

has no relevant financial relationships to disclose at this time.

Michael Ferragamo, MD

has no relevant financial relationships to disclose at this time.

Zhamshid Okhunov, MD

has no relevant financial relationships to disclose at this time.

Roshan Patel, MD

has no relevant financial relationships to disclose at this time.

Roger Sur, MD

has no relevant financial relationships to disclose at this time.

Robert Sweet, MD, FACS

has no relevant financial relationships to disclose at this time.

Shlomi Tapiero, MD

has no relevant financial relationships to disclose at this time.

Ramy Youssef-Yaacoub, MD

has no relevant financial relationships to disclose at this time.


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


The American Urological Association designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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™.


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.


All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, authors) 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.


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


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.



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 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 and Photographic Equipment 

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

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

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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.

Available Credit

  • 12.25 AMA PRA Category 1 Credit™
  • 12.25 Non-Physician Participation


There are no more spaces available for this course.


AUA Members save 25%!  For more information on membership benefits, visit



 Early Bird On or Before January 11, 2019Standard On or After January 12, 2019
AUA Member$1249$1560


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.

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


AUA Education & Research reserves the right to cancel this course if a minimum enrollment is not reached before January 4, 2019. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by January 11, 2019 .