PCNL · Rescue · D18

The sheath comes out

Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

PCNLRescue · Advanced

The scenario

  • PCNL, most of a staghorn cleared.
  • Instruments are being exchanged.
What you see
  • The sheath slides out of the kidney with the nephroscope.
  • Fluoroscopy shows the safety wire still coiled in the pelvis.
  • The working wire is gone.
PCNL: the tract, the sheath and the safety wire in the collecting system
PCNL: the tract, the sheath and the safety wire in the collecting system
Open the animation

Teaching only · not for diagnosis or treatment decisions