Practical PCNL: From Access to Exit - A Hands-On Course (2017)

February 25, 2017 to February 26, 2017

Because of the relative paucity of PCNL cases in training programs which are not high-volume centers, many residents do not gain enough practical experience to feel comfortable with obtaining percutaneous access and performing PCNL. Concerns over morbidity of the operation due to a lack of familiarity and ability to troubleshoot challenges or complications may lead surgeons to avoiding PCNL when it is the ideal surgical approach to a stone. Making the 'rare' case into a 'routine' one by enabling hands-on experience in all phases of the surgery will address the gap in practice, allowing more urologists to offer PCNL to their patients.

Target Audience

  • Urologist

Learning Objectives

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

  1. Obtain percutaneous access to the kidney using fluoroscopy in combination with ureteroscopic and/or ultrasound guidance.
  2. Review instrumentation integral to optimizing PCNL success (including tract dilation, graspers, baskets, flexible nephroscopy).
  3. Perform prone flexible cystoscopy.
  4. Demonstrate the optimal methods for post-operative sealing or drainage of the percutaneous tract.
  5. Utilize flexible ureteroscopy and instrumentation in combination with PCNL to enhance renal access and stone treatment success.
  6. Routinely employ a ureteral access sheath during flexible ureteroscopy.
  7. Perform and review ultrasound imaging.
  8. Recognize and manage complications of PCNL.
  9. Apply knowledge gained in this course to develop a practice in which PCNL becomes an integral surgical procedure in the treatment of stone disease.
Course summary
Available credit: 
  • 13.00 AMA PRA Category 1 Credit™
  • 13.00 Non-Physician Participation
Course opens: 
02/24/2017
Course expires: 
02/25/2020
Event starts: 
02/25/2017 - 7:00pm
Event ends: 
02/26/2017 - 12:00pm
Price:
$1,719.00
Rating: 
0

Saturday, February 25, 2017

6:00 – 7:00 a.m.                                Registration & Continental Breakfast

7:00 – 7:05 a.m.                                Welcome

7:05– 7:15 a.m.                                Pre-test

 7:15 – 7:35 am                                 Pre-procedural Planning and 3D CT Imaging

                                                          Zhamshid H. Okhunov, MD           

7:35 – 7:50 am                                  Renal Anatomy for Percutaneous Stone Removal

                                                           Duane D. Baldwin, MD

7:50 – 8:10 am                                  Patient Positioning: Prone, Supine, and Lateral

                                                           Roshan M. Patel, MD

8:10 – 8:30 am                                  Fundamentals of Fluoroscopy and Radiation Safety

                                                           Duane D. Baldwin, MD

8:30 – 8:50 am                                  Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Drift Down”

                                                          Jaime Landman, MD

8:50 – 9:05 am                                  Break

9:05 – 9:30 am                                  Fundamentals of Renal Ultrasound

                                                          Chandana Lall, MD

9:30 – 9:50 am                                  Ultrasound-guided Percutaneous Access

                                                           Kari Nelson, MD

9:50 – 10:10 am                                Endoscopic-guided Percutaneous Access: Prone Cystoscopy/Ureteral Access Sheath

                                                          Kamaljot Kaler, MD, FRCSC

10:10 – 10:30 am                             Dilation of the Nephrostomy Tract: Technique and Avoidance of Complications

                                                         Thomas Chi, MD

10:30 – 10:45 am                             Break

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

                                                         Jaime Landman, MD

11:05 – 11:25 am                             Flexible Nephroscopy: Tips and Tricks

                                                         Robert Marten Sweet, MD, FACS

11:25 – 11:45 am                             Ending the Procedure: Tube and Tubeless Techniques

                                                         Matthew David Dunn, MD

11:45 am – 12:15 pm                      Better than Live: Putting it All Together (Video Session)

                                                        Ralph V. Clayman, MD

12:15 – 1:00 pm                               Lunch

Surgical Skills Lab

1:00 – 3:00 pm                                 Group 1: Endoscopic/Fluoroscopic Cadaver PCNL: Start to Finish

1:00 – 3:00 pm                                 Group 2: Surgical Skills Stations

3:00 – 3:30 pm                                 Break

3:30 – 5:30 pm                                 Group 2: Endoscopic/Fluoroscopic Cadaver PCNL: Start to Finish

3:30 – 5:30 pm                                 Group 1: Surgical Skills Stations

Sunday, February 26, 2017

6:30 – 7:30 am                                 Breakfast

7:30 - 8:00 am                                  Challenges of PCNL: Tips and Tricks (Horseshoe Kidney, Calyceal Diverticulum, Pelvic Kidney, Spinal Abnormalities)

                                                         Matthew David Dunn, MD

8:00 - 8:30 am                                  PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution

                                                         Thomas Chi, MD

8:30 - 8:50 am                                  Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain

                                                         Robert Marten Sweet, MD, FACS

8:50 - 9:20 am                                  Medical Management of Kidney Stones: Stone Trees

                                                         Ralph V. Clayman, MD

9:20 - 9:35 am                                  Break

9:35 - 9:55 am                                  Billing in the Age of ICD-10

                                                         Christy Shanley, CPC, CUC                                        

9:55 - 10:10 am                                Review of AUA Guidelines for PCNL

                                                         Ramy F. Youssef-Yaacoub, MD

10:10 – 11:10 am                             Panel Session: PCNL Cases (Instructive and Problematic)

                                                         Moderator: Jaime Landman, MD

                                                         Panel: Duane D. Baldwin, MD; Thomas Chi, MD; Matthew David Dunn, MD; Robert Marten Sweet, MD, FACS; Ramy F. Youssef-Yaacoub, MD

11:10 – 11:40 am                             PCNL Start to Finish: Rapid Fire Review and Questions: What’s the Next Step (Interactive audience response with Poll Everywhere)

                                                         Ralph V. Clayman, MD  

11:40 am – Noon                             Post-test/Questions/Adjourn

University of California, Irvine
Irvine, CA
United States

Name

Company

Role

Financial

D. Duane Baldwin, MD

Cook Urological, Inc.

Meeting Participant or Lecturer

Yes

Olympus Corporation

Consultant or Advisor

Yes

Bard Medical Divison

Consultant or Advisor

Yes

Thomas Chi , MD

Bard

Meeting Participant or Lecturer

Yes

Boston Scientific Corporation

Consultant or Advisor

Yes

Ralph V. Clayman, MD

Applied Urology

Investment Interest

Yes

Greenwald Inc.

Other

Yes

MizuhOSI

Other

Yes

Boston Scientific

Other

Yes

Cook Urological

Other

Yes

Auris Inc.

Consultant or Advisor,Scientific Study or Trial

Yes

Spectrum Pharmaceutical

Consultant or Advisor

Yes

Matthew D. Dunn, MD

Boston Scientific

Consultant or Advisor,Scientific Study or Trial

Yes

luminous

Meeting Participant or Lecturer

Yes

Kamaljot Kaler,MD

Cook

Meeting Participant or Lecturer

Yes

Chandana Lall, MD

Nothing to disclose.

Jaime Landman, MD

Cook Urological

Consultant or Advisor,Owner, Product Development

No

Galil Medical

Consultant or Advisor

Yes

CONMED

Consultant or Advisor

Yes

Auris

Consultant or Advisor,Investment Interest

Yes

Allergan

Scientific Study or Trial

Yes

Kari Nelson, MD

Nothing to disclose.

Zhamshid H. Okhunov, MD

Nothing to disclose.

Roshan M. Patel, MD

Nothing to disclose.

Christy Shanley

Nothing to disclose.

Robert M. Sweet, MD

American Urological Association

Consultant or Advisor,Meeting Participant or Lecturer,Scientific Study or Trial

Yes

Society of Laparoendoscopic Surgeons

Leadership Position,Consultant or Advisor,Meeting Participant or Lecturer,Scientific Study or Trial,Other

No

Ramy F. Youssef-Yaacoub,MD

Nothing to disclose.

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 13.00 AMA PRA Category 1 CreditsTM. 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 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.

Available Credit

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

Accreditation Period

Course opens: 
02/24/2017
Course expires: 
02/25/2020

Price

Price:
$1,719.00
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