UPDATE ON A SURGICAL TECHNIQUE

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This panel reviews pediatric percutaneous nephrolithotomy at King Saud University from 2005–2014, covering 31 renal units in 24 patients. It examines case selection, anatomical complexity, preoperative risk stratification, and access planning for stones averaging 37 mm. Technical considerations include positioning, ureteral catheterization, and Foley placement, with emphasis on refining stone clearance strategies, addressing decision points, and discussing outcomes and unresolved challenges.