We are going to discuss today PCNL in a large kidney stone using the Shock-pulse technology, which as you may be aware, is one of the newer energy sources which are now in use. This shock pulse is a dual-energy system, which uses both ultrasonic as well as mechanical/pneumatic energy intermittently for stone fragmentation, which allows rapid fragmentation as well as rapid clearance of the stone, making the procedure much faster and much more efficient. This is especially useful in large stones and staghorn stones, and in our experience, it has significantly reduced the overall operating time and also morbidity.Â
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