Practical PCNL: From Access to Exit- A Hands-on Course- Seattle (2018)

November 10, 2018 to November 11, 2018

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.  


This educational activity is supported by independent educational grants from:

  • Bard Medical
  • Cook Medical
  • Olympus Corporation of the Americas

  • Richard Wolf Medical Instruments Corporation

Target Audience

  • Urologists
  • Urology Residents

Learning Objectives

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

  1. Obtain percutaneous access to the kidney using both fluoroscopy and sonography.
  2. Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy). 
  3. Demonstrate the optimal methods for post-operative drainage and management of the percutaneous tract.
  4. Recognize and manage complications of PCNL.
  5. Perform and review ultrasound imaging.
  6. 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.
  7. Gain familiarity with flexible ureteroscopy and instrumentation, and learn how to utilize it in combination with PCNL to enhance access and stone treatment success.
Course summary
Available credit: 
  • 11.75 AMA PRA Category 1 Credit™
  • 11.75 Non-Physician Participation
Course opens: 
Course expires: 
Event starts: 
11/10/2018 - 7:00am EST
Event ends: 
11/11/2018 - 12:30pm EST

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. – 4:30 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 11, 2018

8:00 a.m. – 8:30 a.m.Breakfast
8:30 a.m. – 8:50 a.m.Review of AUA Guidelines for Medical and Surgical Management of Urolithiasis
8:50 a.m. – 10:00 a.m.Difficult Cases: Panel Discussion and Difficult Access: Tips and Tricks
10:00 a.m. – 10:30 a.m.Exit Strategies: Tubes vs Tubeless Debate
10:30 a.m. – 10:50 a.m.Medical Management of Kidney Stones
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.Post Test
12:30 p.m.Course Adjourns
WWAMI Institute for Simulation in Healthcare (WISH) at Harborview Medical Center
Seattle, WA
United States

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

Hotel Sorrento

900 Madison Street

Seattle, WA 98104

Phone: 206-622-6400

Reserve Now!


Please call the hotel at 206-622-6400 and reference the AUA Practical PCNL course when making your reservation to receive the special group rate.

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


$189 single/double occupancy. Please call 206-622-6400 and reference the AUA Practical PCNL course when making your reservation to receive the special group rate.

Cut-off Date

Tuesday, October 9, 2018

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.


Check-in: 4 p.m.

Check-out: 12 p.m.


Daily Self-Parking - $25 per car/ day

Overnight Parking – $45 per car/night

Valet Parking- Same as prices above
Prices are subject to change.

Car Rental

Hertz is pleased to offer special discounted car rental rates to AUA course and meeting attendees. To make a reservation, call 1-800-654-2240 and mention the AUA discount code CV# 053G0001.


Call 1-800-908-9414 or email

Know Before You Go-Tourism

Whether it is a trip for families, or a short business trip, the Emerald City has you covered. No matter what you’re looking for, the perfect adventure awaits. The Hotel Sorrento is only a ten-minute ride from Downtown Seattle, where natural wonders meet a world-class urban center. Eat at a 1907 food staple like Pike Place Market, or take the Ferry to Bainbridge Island- Walk through many of Seattle’s iconic National Parks or visit the iconic Space Needle- No matter the season, Seattle has much to offer for an extended stay before or after the meeting.


PDF icon Faculty Disclosures


Education Council Disclosures

Course Director(s)

Robert Sweet, MD, FACS

has no relevant financial relationships to disclose at this time.

Ben Chew, MD, MSC, FRCSC

has no relevant financial relationships to disclose at this time.

Thomas Chi, MD,MBA

has no relevant financial relationships to disclose at this time.

Ralph Clayman, MD

has no relevant financial relationships to disclose at this time.

Jonathan Harper, MD

has no relevant financial relationships to disclose at this time.

Patrick Samson, MD

has no relevant financial relationships to disclose at this time.

Mathew Sorensen, MD, MS, FACS

has no relevant financial relationships to disclose at this time.

Roger Sur, MD

has no relevant financial relationships to disclose at this time.

Accreditation: 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 for a maximum of 11.75 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) 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 Conflict of Interest Review Work Group 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.



Disclaimer: 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.


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


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.

Available Credit

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


Please login or register to take this course.

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Register by October 8, 2018 to save 25%!

 Early Bird On or Before October 8, 2018Standard On or After October 9, 2018
AUA Member$795$995


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 September 28, 2018. If AUA Education & Research cancels this course, notification will be sent by October 1, 2018.