Practical PCNL: From Access to Exit - A Hands-On Course - New York (2018)
This is a hands-on, intensive course in PCNL. It 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. The course will include didactic lectures, multiple different simulators, and live patient experience with ultrasound imaging.
After attending this course, participants will be able to:
- Obtain percutaneous access to the kidney using both fluoroscopy and sonography.
- Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy).
- Demonstrate the optimal methods for post-operative drainage and management of the percutaneous tract.
- Recognize and manage complications of PCNL.
- Perform and review ultrasound imaging.
- 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.
- Gain familiarity with flexible ureteroscopy and instrumentation, and learn how to utilize it in combination with PCNL to enhance access and stone treatment success.
Saturday, July 14, 2018
7:00 – 7:20 am Registration/Breakfast
7:20 – 7:30 am Welcome/Course Format
7:30 – 8:00am Fundamentals of Renal Ultrasound
8:00 – 8:20 am Fundamentals of Fluoroscopy/Radiation Safety
8:20 – 8:40 am Case Selection (STONE Morphometry) Selection of Access Site
8:40 – 8:50 am Positioning for PCNL
8:50 – 9:10 am Fluoroscopy-guided Perc Access: “Bull’s Eye” and “Drift Down”
9:10 – 9:25 am Endoscopically-guided Perc Access with Fluoroscopy
9:25 – 9:45 am Ultrasound-guided Perc Access and Complications
9:45 – 10:00 am Break
10:00 – 10:20 am Dilation of Tract and Complications
10:20 – 10:45 am Difficult Access: Tricks and Tips
10:45 – 11:05 am Stone Removal and Lithotripsy – Pneumatic, Ultrasound, Laser
11:05 – 11:25 am Flexible Nephroscopy
11:25 – 11:45 am Flexible Ureteroscopy in PCNL: Access Sheaths and other Tips
11:45 am – 12:15 pm Medical Management of Kidney Stones
12:15 – 12:30 pm Review of AUA Guidelines for Medical and Surgical Management Of Urolithiasis
12:30 – 1:00 pm Lunch
1:00 – 5:00 pm Surgical Skill Stations
- Renal Ultrasound on Live Model
- Percutaneous Access under Fluoroscopy
- Percutaneous Access under Ultrasound
- Flexible Ureteroscopy and Percutaneous Access
Sunday, July 15, 2018
7:30 – 8:00 am Breakfast
8:00 – 8:20 am Exit Strategies: Tubes vs. Tubeless, Floseal, Selection of Nephrostomy Tubes, Post-Op Imaging
8:20 – 8:45 am Difficult Access: Tricks and Tips
8:45 – 10:30 am Surgical Cases – Video
PCNL – Fluoroscopy-guided Access and Stone Removal –
Graspers, Lithotripsy and Insertion of Nephrostomy or Stent
PCNL – Ultrasound-guided Access and Stone Fragmentation with
PCNL with Multiple Tracts and Flexible Nephroscopy
PCNL – Endoscopic assisted
Flexible Ureteroscopy for Residual Stones
10:30 – 10:50 am Break
10:50 – 11:10 am Complications and How to Prevent Them for PCNL
11:10 – 11:30 am Complications and How to Prevent Them for URS
11:30 am – 12:30 pm Difficult Cases: Panel Discussion/Q & A Session
12:30 pm Course Adjourns
Inn at Great Neck
30 Cutter Mill Road
Great Neck, New York 11021
Make your reservation today!
To hold a reservation, a major credit card number must be provided.
Reference the American Urological Association 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. $185 single/double occupancy. Reference the American Urological Association Practical PCNL course when making your reservation to receive the special group rate.
Cut-off Date: Friday, June 22, 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: 3 p.m.
Check-out: 12 p.m.
Valet: $14.00 per day (overnight)
Hertz is pleased to offer special discounted car rental rates to AUA course and meeting attendees. Make your rental car reservation online or call 1-800-654-2240 and mention the AUA discount code, CV# 04SG0005.
Know Before You Go
The Inn at Great Neck is located on the historic Gold Coast of Long Island. "West Egg" from F. Scott Fitzgerald's novel, The Great Gatsby, refers to Great Neck. What has made Great Neck such a well-regarded locale has been its picturesque scenery that is in close proximity to Manhattan. Our convenient location offers guests a great starting point to discover the cultural, historic and natural attractions of Long Island's North Shore, as well as our dining and nightlife. From the magnificent gardens of Old Westbury, to a historic walking tour of our Great Neck village, there is plenty to do and see nearby. Be sure to visit the local museums, arboretums, mansions, gardens, beaches, hiking trails, shopping villages, state parks, theaters, restaurants, golf courses, bike paths, fishing piers, farmer's markets and more.
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 13.75 AMA PRA Category 1 Credits™. Physicians should only claim 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 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
Off-label or Unapproved Use of Drugs or Devices: It is the policy of the AUA to require the disclosure of all references to off-label or unapproved uses of drugs or devices prior to the presentation of educational content. 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.
Attendee 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 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, please see the registration desk.
- 13.75 AMA PRA Category 1 Credit™
- 13.75 Non-Physician Participation