Practical PCNL: From Access to Exit - Lake Success NY (2022)

Lake Success, NY US
November 12, 2022 to November 13, 2022


This hands-on, intensive skills training is for the practicing urologist who wants to gain comfort with percutaneous stone removal, obtaining one's own percutaneous access using both fluoroscopy and ultrasound, and the use of current instrumentation including flexible ureteroscopy.  The course will include didactic lectures, a variety of surgical simulators, and live patient experience with ultrasound imaging.

AUA Practical PCNL: From Access to Exit - A Hands-on Skills Training


Register by September 30 and save!

Live Course
Early Bird
Live Course
AUA Member
AUA Non-Member

Target Audience

  • Urologists
  • Urology Residents and Fellows

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, and 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. Offer PCNL to its patients as an integral surgical procedure in the treatment of stone disease.  
  7. Utilize flexible ureteroscopy and instrumentation in combination with PCNL to enhance access and stone treatment success.
Course summary
Available credit: 
  • 13.00 AMA PRA Category 1 Credit™
  • 13.00 Non-Physician Participation
Course opens: 
Course expires: 
Event starts: 
11/12/2022 - 7:00am EST
Event ends: 
11/13/2022 - 12:30pm EST

Saturday, November 12, 2022

7:00 – 7:30 amRegistration/Breakfast
7:30 – 7:40 amWelcome/Course Format
David Hoenig, MD
7:40 – 8:00 amFundamentals of Renal Ultrasound
Jane Cho, MD
8:00 – 8:20 amFundamentals of Fluoroscopy/Radiation Safety
Jane Cho, MD
8:20 – 8:40 amCase Selection (Stone Morphometry)/Selection of Access Site
Zeph Okeke, MD
8:40 – 8:50 amPositioning for PCNL
Arun Rai, MD
8:50 – 9:10 amFluoroscopy-Guided Perc Access: “Bull’s Eye” and “Drift Down”
Tavya Benjamin, MD
9:10 – 9:25 amEndoscopically-Guided Perc Access with Fluoroscopy
Robert Sweet, MD, FACS
9:25 – 9:45 amUltrasound-Guided Perc Access and Complications
Tareq Aro, MD
9:45 – 10:00 amBreak
10:00 – 10:20 amHow To, Step by Step: Fluoroscopy-Guided Access & Tract Dilation
David M. Hoenig, MD
10:20 – 10:45 amDifficult Access: Tricks and Tips
Jared Winoker, MD
10:45 – 11:05 amStone Removal and Lithotripsy – Pneumatic, Ultrasound, Laser
Tavya Benjamin, MD
11:05 – 11:25 amFlexible Nephroscopy
Arun Rai, MD
11:25 – 11:45 amMini PCNL
Tareq Aro, MD
11:45 am – 12:15 pmMedical Management of Kidney Stones
David M. Hoenig, MD
12:15 – 12:30 pmReview of AUA Guidelines for Medical and Surgical Management Of Urolithiasis
Gregory Mullen, MD
12:30 – 1:30 pmLunch
1:30 – 5:30 pmSurgical Skill Stations
  1. 1.Renal Ultrasound on Live Model: Jane Cho, Tareq Aro
    2. Percutaneous Access under Fluoroscopy: Robert Sweet, Gregory Mullen
    3. Percutaneous Access under Ultrasound: Tavya Benjamin, Zeph Okeke
    4. Flexible Ureteroscopy and Percutaneous Access: David M. Hoenig, Arun Rai
5:30 pmCourse Adjourns

Sunday, November 13, 2022

7:30 – 8:00 amBreakfast
8:00 – 8:20 amExit Strategies: Tubes vs. Tubeless, Floseal, Selection of Nephrostomy Tubes, Post-Op Imaging
Arun Rai, MD
8:20 – 8:45 amPain Management in PCNL
Jared Winoker, MD
8:45 – 9:30 amStarting a PCNL Program
Equipment- Tareq Aro, MD
Tips on Starting a Multidisciplinary Stone Program- Robert Sweet, MD, FACS
Coding/Billing/After Care- David M. Hoenig, MD
9:30 - 10:30 amSurgical 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 amBreak
10:50 – 11:10 amComplications and How to Prevent Them for PCNL
Robert Sweet, MD, FACS
11:10 – 11:30 amComplications and How to Prevent Them for URS
Zeph Okeke, MD
11:30 am – 12:30 pmDifficult Cases: Panel Discussion/Q & A Session
David Hoenig, MD and All Faculty
12:30 pmCourse Adjourns
Smith Institute for Urology
450 Lakeville Road
Lake Success, NY 11042
United States
+1 (516) 734-8500

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.


The Inn at Great Neck has sold out of rooms on Friday November 11 and Saturday, November 12.  You can also try these local hotels:

Garden City Hotel

16 minutes from Smith Institute


The Andrew Hotel

10 minutes from Smith Institute


Holiday Inn Express, Roslyn

14 minutes from Smith Institute

Faculty disclosures will be posted here prior to the start of the course.

Education Council Disclosures:

PDF icon Education Council Disclosures_2022.pdf

COI Review Workgroup Disclosures:

PDF icon COI Review Work Group Disclosures_2022.pdf


AUA Office of Education Staff has nothing to disclose.

All relevant financial relationships have been mitigated.




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 13.0 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 all financial relationships with any commercial interest during the previous 24 months. The AUA must determine if the individual’s relationships may influence the educational content and mitigate 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 AUA Conflict of Interest (COI) Review Work Group Chair and/or Vice Chair for identification of conflicts of interest. The AUA COI Review Work Group, working with Office of Education staff, will document the mechanism(s) for management and mitigation 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 mitigate conflict of interest:

  • Peer review for valid, evidence-based content by the AUA COI Review Work Group.
  • Attestation that clinical recommendations are evidence-based and free of commercial bias.
  • Introduction of a debate format (point-counterpoint)
  • Inclusion of moderated panel discussion with unbiased moderator
  • Publication of a parallel or rebuttal article for an article that is felt to be biased
  • Divestiture of the relationship by faculty
  • Recusal from controlling relevant aspects of planning
  • Selection of alternative faculty for specific topic


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

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


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Register on or before September 30 and save 25%!

 Course Registration Fees 


Early Bird On or Before Sept. 30, 2022

Standard On or After Oct. 1, 2022

AUA Member







Cancellation Policy

Live Course: 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.

 Webcast: Cancellations must be made no later than one week prior to the live course. Subscription fees will not be refunded after the cancellation period. Purchases after the live course date are not eligible for a refund.

 Registration Transfer: Customers switching from an option of lesser value to a higher value will be required to pay the difference in cost between the two options. Switching to an option of lesser value from a higher value must be made no later than to six weeks prior to the course and will be subject to an administrative fee of 15% of the cost of the course from which they are transferring. Transfer of registration from a higher value option to an option of lesser value past six weeks prior to the course will not receive a refund.

 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 October 7, 2022. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by October 14, 2022.

Attendee Information & Policies

AUA Anti Harassment Policy

AUA Commitment: AUA is committed to providing a safe and productive meeting environment that fosters open dialogue and the exchange of scientific ideas and is free of harassment and discrimination. All meeting participants are expected to behave professionally and treat others with respect, follow venue rules, and alert AUA staff or security of any dangerous situations or anyone in distress.

 Reporting Harassment: It is the policy of the AUA that all meeting participants will enjoy an environment free from discrimination, harassment or retaliation. Harassing or offensive behavior by meeting participants will not be tolerated. If an individual experiences or witnesses harassment, he or she should contact Janet Skorepa, AUA EVP, at or Diane Bieri, AUA General Counsel, at or use a venue phone and ask for security if he or she feels unsafe. All complaints will be treated seriously and responded to promptly.

The AUA reserves the right to take any action deemed necessary and appropriate, including refusing or revoking the registration of any individual, without refund, as long as such refusal is consistent with applicable law and AUA policy.

 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 American Urological Association (AUA).

 Consent to Use of Photographic Images: Registration and 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 registrant or attendee's image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities.

 Audio, Video, 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 AUA.

 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, a written request should be submitted at least one month in advance. For additional assistance with your request please call 1-800-908-9414.