American Urological Association - Practical PCNL: From Access to Exit - A Hands-On Course


Home Education Conferences and Meetings Educational Calendar Practical PCNL: From Access to Exit - A Hands-On Course

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


Maximum of 13.75 AMA PRA Category 1 CreditsTM

Live Course

Smith Institute of Urology, Lake Success, NY  
July 14 – 15, 2018

Course Location

July 14 – 15, 2018
Smith Institute of Urology
Lake Success, NY

Course Co-Directors

Arthur Smith, MD
Chairman Emeritus of Urology
Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Long Island Jewish Medical Center

David Hoenig, MD
Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Smith Institute of Urology

Target Audience

This two-day course with didactic and hands-on sessions is designed for urologists and residents. 

Course Description

Course Purpose

This is a hands-on, intensive course in Percutaneous Nephrolithotomy (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.

Learning Objectives

After attending this course, participants should 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, 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. 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.  
  7. Gain familiarity with flexible ureteroscopy and instrumentation, and learn how to utilize it in combination with PCNL to enhance access and stone treatment success.

Scientific Program Schedule

Saturday, July 14, 2018

7:00 - 7:20 amRegistration/Breakfast
7:20 – 7:30 amWelcome/Course Format
7:30 - 8:00 amFundamentals of Renal Ultrasound
8:00 - 8:20 amFundamentals of Fluoroscopy/Radiation Safety
8:20 - 8:40 amCase Selection (STONE Morphometry) Selection of Access Site
8:40 - 8:50 amPositioning 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 amDilation of Tract and Complications
10:20 - 10:45 amDifficult Access: Tricks and Tips
10:45 - 11:05 amStone Removal and Lithotripsy - Pneumatic, Ultrasound, Laser
11:05 - 11:25 amFlexible Nephroscopy
11:25 - 11:45 amFlexible Ureteroscopy in PCNL: Access Sheaths and other Tips
11:45 am - 12:15 pmMedical Management of Kidney Stones
12:15 - 12:30 pmReview of AUA Guidelines for Medical and Surgical Management of Urolithiasis
12:30 - 1:00 pmLunch
1:00 - 5:00 pmSurgical Skill Stations
  1. Renal Ultrasound on Live Model
  2. Percutaneous Access under Fluoroscopy
  3. Percutaneous Access under Ultrasound
  4. Flexible Ureteroscopy and Percutaneous Access

Sunday, July 15, 2018

7:30 - 8:00 amBreakfast
8:00 - 8:20 amExit Strategies: Tubes vs. Tubeless, Floseal, Selection of Nephrostomy Tubes, Post-Op Imaging
8:20 - 8:45 amDifficult 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 Lithoclast

PCNL with Multiple Tracts and Flexible Nephroscopy

PCNL - Endoscopic assisted

Flexible Ureteroscopy for Residual Stones
10:30 - 10:50 amBreak
10:50 - 11:10 am Complications and How to Prevent Them for PCNL
11:10 - 11:30 amComplications and How to Prevent Them for URS
11:30 am - 12:30 pmDifficult Cases: Panel Discussion/Q & A Session
12:30 pmCourse Adjourns

Course Registration Fees

Registration Fees Early-Bird On or Before June 15, 2018Standard On or After June 16, 2018
AUA Member$645$805

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.

AUA Education & Research reserves the right to cancel this course if a minimum enrollment is not reached before June 1, 2018. If AUA Education & Research cancels this course, registration fees will be refunded in full and notification will be sent by June 8, 2018. 

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

Course Location/Hotel Information

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.

Hotel Information

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)

Car Rental

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

Tourism: 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. 


Call 1-800-908-9414 or email

CME and Disclosure Information


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 CreditsTM. 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 forAMA 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

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


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.

Patient Education Resources

To encourage and support the participant’s care of their patients, this activity will provide resources to Urology Care Foundation existing resources on PCNL. These resources will include patient videos and brochures.

Materials specifically mentioning PCNL:

Overall Kidney Health Series: