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

Lake Success, NY US
October 5, 2019 to October 6, 2019

This is the last AUA PCNL Course to be offered in 2019 - Reserve your seat today!

This is a hands-on, intensive course in PCNL. It is perfect 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 utilizing current instrumentation including flexible ureteroscopy. The course will include didactic lectures, multiple different simulators, and live patient experience with ultrasound imaging.

Course Registration Fees

 Early Bird - On/Before August 23, 2019 Standard - On/After August 24, 2019
AUA Member $675$844


Target Audience

  • Resident
  • Urologist

Learning Objectives

After attending this course, participants 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.


This educational course is supported by independent educational grants from:

  • Cook Medical
  • Olympus Corporation of the Americas
Course summary
Available credit: 
  • 13.75 AMA PRA Category 1 Credit™
  • 13.75 Non-Physician Participation
Course opens: 
Course expires: 
Event starts: 
10/05/2019 - 7:00am EDT
Event ends: 
10/06/2019 - 12:30pm EDT

Saturday, October 5, 2019

7:00 – 7:30 am                  Registration/Breakfast

7:30 – 7:40 am                  Welcome/Course Format

 Arthur D. Smith, MD

7:40 – 8:00 am                  Fundamentals of Renal Ultrasound

  Jane S. Cho, MD

8:00 – 8:20 am                  Fundamentals of Fluoroscopy/Radiation Safety

  Jane S. Cho, MD

8:20 – 8:40 am                  Case Selection (STONE Morphometry) Selection of Access Site

  Zeph Okeke, MD

8:40 – 8:50 am                  Positioning for PCNL

  Arthur D. Smith, MD

8:50 – 9:10 am                  Fluoroscopy-Guided Perc Access: “Bull’s Eye” and “Drift Down”

                                              Arthur D. Smith, MD

9:10 – 9:25 am                  Endoscopically-Guided Perc Access with Fluoroscopy

  David M. Hoenig, MD

9:25 – 9:45 am                  Ultrasound-Guided Perc Access and Complications

  Mantu Gupta, MD, FRCS (Glasg)

9:45 – 10:00 am               Break

10:00 – 10:20 am             How To, Step by Step: Video

 Zeph Okeke, MD

10:20 – 10:45 am             Difficult Access: Tricks and Tips

 Arthur D. Smith, MD

10:45 – 11:05 am             Stone Removal and Lithotripsy – Pneumatic, Ultrasound, Laser

 Zeph Okeke, MD

11:05 – 11:25 am            Flexible Nephroscopy

 Arun Rai, MD

11:25 – 11:45 am             Flexible Ureteroscopy in PCNL: Access Sheaths and other Tips

 Mantu Gupta, MD, FRCS (Glasg)

11:45 am – 12:15 pm      Medical Management of Kidney Stones

                                             David M. Hoenig, MD

12:15 – 12:30 pm             Review of AUA Guidelines for Medical and Surgical Management Of Urolithiasis

                                             David Mikhail, MD, FRCSC

12:30 – 1:00 pm                Lunch

1:00 – 5:00 pm                  Surgical Skill Stations

  1. Renal Ultrasound on Live Model
  2. Percutaneous Access under Fluoroscopy
  3. Percutaneous Access under Ultrasound
  4. Flexible Ureteroscopy and Percutaneous Access

5:00 pm                               Course Adjourns

Sunday, October 6, 2019

7:30 – 8:00 am                  Breakfast

8:00 – 8:20 am                  Exit Strategies: Tubes vs. Tubeless, Floseal, Selection of Nephrostomy Tubes, Post-Op Imaging

  David M. Hoenig, MD

8:20 – 8:45 am                  You Choose the Access

                                              Arthur D. Smith, MD

8:45 – 9:30 am                  Starting a PCNL Program

  • Equipment- Mantu Gupta, MD, FRCS (Glasg)
  • Tips on Starting a Multidisciplinary Stone Program- Robert M. Sweet, MD, FACS
  • Coding/Billing/Aftercare- David M. Hoenig, MD

9:30 - 10:30 am                 Surgical Cases – Videos

  • PCNL – Fluoroscopy-guided Access and Stone Removal – Graspers, Lithotripsy and Insertion of Nephrostomy or Stent
  • PCNL – Ultrasound-guided Access and Stone Fragmentation
  • PCNL – Endoscopic assisted

10:30 – 10:50 am             Break

10:50 – 11:10 am             Complications and How to Prevent Them for PCNL

 Robert M. Sweet, MD, FACS

11:10 – 11:30 am             Complications and How to Prevent Them for URS

 Zeph Okeke, MD

11:30 am – 12:30 pm      Difficult Cases: Panel Discussion/Q & A Session

                                             All Faculty

12:30 pm                           Course Adjourns

The Center for Advanced Medicine / Smith Institute for Urology
450 Lakeville Road
Suite M41
Lake Success, NY 11042
United States

What to Know Before You Go

Course Syllabus:

You will receive a complimentary printed syllabus at Registration. Full color handouts will also be made available on the AUAUniversity by Monday, September 30, 2019. If you would like to view the slides on your mobile device and/or laptop in the general session, be sure to bring a smartphone and/or laptop with a charger. *It is recommended that all course handouts be downloaded before entering the General Session.

Access Course Handouts

  1. Go to AUAUniversity and log in using your AUA ID and password.
  2. Click on the "My Activities" tab at the top of the page.
  3. Under Pending Activities, click "Practical PCNL: From Access to Exit – A Hands-on Course (2019)".
  4. Select "Take Course". Once you complete the Knowledge Assessment, you may access the course handouts.

 From this page you will be able to access the pre-course knowledge assessment, course handouts, post-course follow-up assessment, evaluation, claim credit and print the course certificate. Please complete the pre-course knowledge assessment PRIOR to attending the live course.   


Registration will begin at 7:00 a.m. on Saturday morning in the Smith Institute for Urology Centre Street Hallway. All attendees must check-in at registration to receive their name badge and course syllabus.  The didactic portion of the course will begin promptly at 7:30 a.m


A continental breakfast, lunch and coffee breaks will be provided on Saturday. A breakfast and coffee break will be provided on Sunday at the course location.


Complimentary parking is available at the course location across the street from the Center for Advanced Medicine- At the first light past Marcus Avenue, from Lakeville Road make a left at the second entrance marked "Entry 2" of the Center for Advanced Medicine. The Parking Lot on you left hand side is available to you throughout the course.


Attire is business casual for the meeting. Temperatures in meeting rooms can sometimes be cool, so we advise that you bring a jacket or sweater with you to all meeting functions.


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

Inn at Great Neck
30 Cutter Mill Road
Great Neck, New York 11021

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

$179 single/double occupancy. Reference the American Urological Association Practical PCNL course when making your reservation to receive the special group rate. Make your reservation today!

Cut-off Date: Thursday, September 5, 2019
*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: 3 PM

Check-out: Noon


Valet: $14.00 per day (overnight) 

The Long Island Railroad Station is within 5 minutes.

Complimentary parking is available at the course location across the street from the Center for Advanced Medicine. At the first light past Marcus Avenue, from Lakeville Road make a left at the second entrance marked “Entry 2” of the Center for Advanced Medicine. The Parking Lot on you left hand side is available to you throughout the course.

Questions? Call 1-800-908-9414 or email

Education Council Disclosures

PDF icon Education Council Disclosures

AUA Office of Education Staff have nothing to disclose. 

Course Co-director(s)

David Hoenig, MD, FRCSC

has no relevant financial relationships to disclose at this time.

Arthur Smith, MD

has no relevant financial relationships to disclose at this time.

Jane Cho, MD

has no relevant financial relationships to disclose at this time.

Mantu Gupta, MD,FRCS

has no relevant financial relationships to disclose at this time.

David Mikhail, MD, FRCSC, MPH

has no relevant financial relationships to disclose at this time.

Zeph Okeke, MD

has no relevant financial relationships to disclose at this time.

Arun Rai, 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.


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 13.75 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

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


    Please login or register to take this course.

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

    Register by August 23, 2019 and save 25%!

    Course Registration Fees

      Early Bird - On/Before August 23, 2019Standard - On/After August 24, 2019
    AUA Member $675$844

    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 August 30, 2019. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by September 6, 2019.

    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.