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We herein describe flexible ureteroscopy-directed retrograde nephrostomy access using a puncture wire to achieve renal access. This is a natural extension of modern retrograde intrarenal surgical techniques and a modernization of the original Lawson technique for retrograde nephrostomy tract creation. In appropriately selected patients this approach is safe, easy to learn, and permits reduced radiation exposure.

Flexible Ureteroscopy-Directed Retrograde Nephrostomy for PCNL Wynberg, Jason B.Borin, James F.Vicena, Joshua Z.Hannosh, Vincent N.Salmon, Scott A.
InstitutionDetroit Medical Center

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