Proposal

Aim: The aim of this course is to give the participants a didactic education about percutaneous Nephrolithotomy (PCNL) .

Learning Objectives: To teach the participants the principles of PCNL, including case selection, patient positioning, types of scopes, different methods of renal puncture ,tract dilatation, different modalities of stone fragmentation and how to avoid and manage relevant complications with theoretical lectures illustrative videos and semi-live surgeries.

Targeted Audience: Urologists, urology fellows, Urology residents

Accreditation and Certificates: The course will be accredited by Arab School of Urology (ASU) from accreditation body, the participant will gain Continuous Medical Education (CME) credits and a certificate about the training.

Place: It can take place within the conferences of national societies or within the annual conference of the Arab Association of Urology (AAU).

Fees: to be determined by the organizing association

Faculty: TBD (one per each station)

0815 – 0820	Introduction: Welcome and Goals
0820 – 0840	PCNL Indications, radiologic, biologic, OR Planning
0840 – 0900	Position: Prone, Supine, lateral and modified
0900 – 0920	Access Techniques
0920 – 0940	Tract dilatation techniques
0940 – 1000	Type of PCNL: large, medium, mini, micro, ECIRS
1000 – 1030	Coffee break
1030 – 1200	Introduction to Model and Hands on Training
1200 – 1300	Lunch Break
1300 – 1320	Stone fragmentation and Clearance
1320 – 1340	Tips and Tricks, difficult cases
1340 – 1400	Complications of PCNL, Avoidance and Management
1400 – 1530	Hands on Training
1530 – 1600	Coffee Break
1600 – 1630	Practical Cases Based Discussions
1630	Q & A - Conclusion
Course Evaluation:	Delegate Feedback
	Faculty Feedback

Hands on training: 4 to 5 stations for 20 participants. I think it’s better to have a limited number of participants per station 3 to 4. Alternatively, we can have stations of both models simultaneously, and the groups will rotate in the middle of the session.

Puncture model: we might have model from Boston scientific, CookMedical, … Otherwise, we use the Glove Model with smartphone torch application: see video: https://youtu.be/57lANvGgs3g
This glove model simulates fluoroscopic monopolar puncture. There is a glove model in a jelly, that can be used with ultrasound.
Needed Equipment: Surgical gloves. Suture or wire to ligate the fingers. 18 Gauge puncture needle. A foam or cardboard box square or cylinder of 20/20cm.

Dilatation model: small water melon or just part of it (see video: https://youtu.be/qea-6FYNSu0), puncture needle, guidewires. Fascial dilators 6, to 12Fr. Alken metallic dilators set. Amplatz dilators set. Balloon dilator 24 or 30 Fr.