Practical PCNL: From Access to Exit - A Hands-on Course - California (2020)

Orange, CA US
February 22, 2020 to February 23, 2020

This course is SOLD OUT!  If you would like to be put on a waiting list, please email

We will also offer PCNL training at AUA2020 in Washington DC -  view our Hands-on Skills Training Program, including Practical PCNL with Dr. Rob Sweet.

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:

  • Updated PCNL Coding presentation for 2020
  • 1:4 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

Course Registration Fees

 Early Bird - On/Before January 10, 2020 Standard - On/After January 11, 2020
AUA Member $1249$1560

Target Audience

  • Residents
  • Urologists

Learning Objectives

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

  1. Obtain percutaneous access to the kidney using fluoroscopy and/or ultrasound alone or in combination with ureteroscopic guidance.
  2. Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, and flexible nephroscopes).
  3. Perform prone flexible cystoscopy and flexible ureteroscopy.
  4. Demonstrate methods for post-operative sealing or drainage of the percutaneous tract.
  5. Utilize flexible ureteroscopy and instrumentation in combination with antegrade nephroscopy to enhance stone treatment success.
  6. Proper, safe deployment of a ureteral access sheath during flexible ureteroscopy, including sheaths up to 16F.
  7. Perform and review ultrasound imaging.
  8. Recognize and manage complications of PCNL.
  9. Focus on the latest in laser fragmentation and laser dusting techniques.
  10. Master the medical management of the urolithiasis patient, including metabolic evaluation and effective pharmaceutical/diet therapy.


This educational course is supported by independent educational grants from:

Educational Grants

  • Becton, Dickinson and Company
  • Cook Medical
  • KARL STORZ Endoscopy-America, Inc.
  • Olympus Corporation of the Americas

In-Kind Grants

  • Applied Medical
  • Becton, Dickinson and Company
  • BK Medical
  • Boston Scientific
  • Cook Medical
  • Dornier MedTech
  • GE Healthcare
  • Hitachi Healthcare
  • IPG Photonics
  • KARL STORZ Endoscopy-America, Inc.
  • Lumenis, Inc.
  • Micro-Tech Endoscopy
  • Olympus Corporation of the Americas
  • Philips Healthcare
  • PUSEN Medical
  • Richard Wolf Medical Instruments
Course summary
Available credit: 
  • 12.50 AMA PRA Category 1 Credit™
  • 12.50 Non-Physician Participation
Course opens: 
Course expires: 
Event starts: 
02/22/2020 - 6:30am
Event ends: 
02/23/2020 - 12:00pm

Saturday, February 22, 2020

6:20 a.m.             Registration, Continental Breakfast

6:50 a.m.             Welcome                               

                              Ralph V. Clayman, MD and Jaime Landman, MD

7:00 a.m.             Pre-test

                              Ralph V. Clayman, MD and Jaime Landman, MD

7:10 a.m.             Renal Anatomy for Percutaneous Stone Removal

                              D. Duane Baldwin, MD

7:30 a.m.             Imaging the Stone: CT, 3D CT, and iVR for Pre-procedural PCNL Planning

                              Jaime Landman, MD

7:45 a.m.             Fluoroscopy: Fundamentals and Radiation Safety

                              D. Duane Baldwin, MD

8:05 a.m.             Ultrasonography: Fundamentals and Knobology

                               Rony Kampalath, MD

8:20 a.m.             To the OR - First Things First: Patient Preparation (Prone, Supine, and Lateral)

                              Matthew D. Dunn, MD

8:35 a.m.             Questions and Answers

8:45 a.m.             Break

9:00 a.m.             Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Triangulation”

                               Manoj Monga, MD, FACS

9:20 a.m.             Ultrasound-guided Percutaneous Access

                               Thomas Chi, MD

9:40 a.m.             Endoscopic-guided Fluoroscopic Percutaneous Access: Prone Cystoscopy/Ureteral Access Sheath/Amplatz Sheath Placement

Ralph V. Clayman, MD


10:00 a.m.           Supine Access

Matthew D. Dunn, MD

10:20 a.m.           Nuances of Nephrostomy Tract Dilation: Technique and Avoidance of Complications

                             Ramy Youssef-Yaacoub, MD

10:35 a.m.           Questions and Answers

10:45 a.m.           Break

11:00 a.m.           Percutaneous Access: Does Size Matter – Macro, Micro, Mini, Ultramini, Nano,  Pico and Zero?

                              Robert Sweet, MD, FACS

11:15 a.m.           Rigid Nephroscopy: Access, Choice of Endoscopes, MIP, and Accessories

                              Roger Sur, MD

11:30 a.m.           Lithotripsy: Pneumatic, Ultrasound and Lasers

                              Shlomi Tapiero, MD                                              

11:45 a.m.           Flexible Nephroscopy: Tips and Tricks

                             Ralph V. Clayman, MD

12:00 pm            Ending the Procedure: Tube and Tubeless Techniques

                             Matthew D. Dunn, MD                                               

12:15 pm            Questions and Answers                                              

12:20 pm            Lunch

1:15 pm              Lab Session 1

3:45 pm              Lab Session 2

5:45 pm              Adjourn for the day

Sunday, February 23, 2020

7:30 a.m.             Continental Breakfast

8:00 a.m.             Panel Session: My Way - PCNL Start to Finish

Moderator: Jaime Landman, MD

Panelists: Thomas Chi, MD; Robert Sweet, MD, FACS; Matthew D. Dunn, MD

8:40 a.m.             PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution

                              Manoj Monga, MD        

9:00 a.m.            Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain

Roshan Patel, MD

9:20 a.m.             Stone Trees: Medical Management of Urolithiasis Made Simple

                              Ralph V. Clayman, MD

9:50 a.m.             Billing PCNL in the Age of ICD-10 and 2020 CPT

                              Edna R. Maldonado, CPC, ACS-UR, AHIMA-ICD-10 Trainer

10:20 a.m.           Questions and Answers

10:30 a.m.           Break

10:45 a.m.           Panel Session: Great Googlimoogli’s… Help me Rhonda! Now What?

Moderator: Ralph V. Clayman, MD

Panelists: Manoj Monga, MD; D. Duane Baldwin, MD; Roger Sur, MD

11:45 a.m.           Post-test/Questions      

                              Ralph V. Clayman, MD and Jaime Landman, MD              

12:00 pm             Adjourn

UC Irvine Medical Center
101 The City Drive South
Building 54, 5th Floor
Orange, CA 92868
United States
+1 (714) 456-5493


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

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: $169 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 30, 2020. 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.


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 12.5 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 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


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.

Available Credit

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


Please login or register to take this course.

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

Register by January 10, 2020 and save 25%!

Course Registration Fees

  Early Bird - On/Before January 10, 2020Standard - On/After January 11, 2020
AUA Member $1249$1560

Cancellation Policy

An administration 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 of 50% of the registration fee will be paid. No registration fees will be refunded less than four weeks prior to the course.

AUA Education & Research reserves the right to cancel this course if a minimum enrollment is not reached before January 17, 2020. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by January 22, 2020.

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 Participant Information and Policies

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.