Contrast-enhanced ultrasound guidance beats fluoroscopy for PCNL renal access
RCT · Eur Urol Focus · 2026-10-02. Number 5 in the UrologyWatch Top 5 for October 3, 2026.
In a 150-patient randomized trial, dual contrast-enhanced ultrasound guidance achieved higher first-attempt puncture success, faster tract establishment, shorter hospital stay, and less blood loss than fluoroscopy during PCNL, with similar complication rates.
Why it matters: Offers a radiation-free alternative for renal access during PCNL with potentially better efficiency and safety.
Source: Eur Urol Focus · PubMed 42823258 · DOI 10.1016/j.euf.2026.09.003
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